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Related Experiment Videos

[Complex pelvic trauma caused by an accidental side split].

J D B Heinermann1, M H Hessmann, P M Rommens

  • 1Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Mainz. heinermann@unfall.klinik.uni-mainz.de

Der Unfallchirurg
|March 10, 2005
PubMed
Summary
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A rare case of complex pelvic ring trauma occurred from low-energy trauma in an obese woman. Despite successful bone healing, severe urogenital injuries resulted in long-term incontinence requiring an ileum conduit.

Area of Science:

  • Traumatology
  • Urology
  • Orthopedic Surgery

Background:

  • Complex pelvic ring fractures typically result from high-energy trauma.
  • These fractures involve pelvic ring disruption with associated pelvic organ or soft tissue damage.
  • Atypical injury mechanisms warrant investigation for comprehensive understanding.

Observation:

  • A case report details a complex pelvic ring fracture in an obese female secondary to low-energy trauma (forced splits).
  • The injury presented as an open-book pelvic fracture with severe urogenital soft-tissue compromise, including bladder, urethra, and vaginal rupture.
  • Initial management involved external fixation followed by internal fixation (double-plate osteosynthesis) of the symphysis.

Findings:

  • The osseous lesion achieved a good clinical outcome with primary external and secondary internal fixation.

Related Experiment Videos

  • Despite immediate urological intervention, significant urogenital injuries led to persistent incontinence.
  • Definitive management for incontinence necessitated urine diversion via an ileum conduit.

    • Implications:

    • This case highlights that complex pelvic ring fractures can occur from low-energy mechanisms, particularly in vulnerable populations like the obese.
    • Severe urogenital injuries associated with pelvic fractures pose significant challenges to functional recovery, even with optimal orthopedic management.
    • Multidisciplinary care involving trauma surgery, orthopedics, and urology is crucial for managing these complex injuries and their sequelae.