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[Determining indications and osteosynthesis techniques for the pelvic girdle].
T Pohlemann1, A Gänsslen, B Kiessling
1Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Der Unfallchirurg
|April 1, 1992
Summary
Pelvic fractures are serious, with high mortality linked to trauma severity. Early surgical fixation, particularly for sacral fractures, improves patient outcomes by minimizing tissue damage and implant size.
Area of Science:
- Orthopedic Surgery
- Trauma Care
Context:
- Retrospective analysis of 1566 pelvic fracture patients treated between 1972 and 1990.
- Increasing severity of trauma and pelvic fractures observed over the study period.
- Rise in internal stabilization rates, especially for posterior pelvic ring injuries.
Purpose:
- To evaluate trends in pelvic fracture treatment and outcomes.
- To analyze factors influencing mortality in pelvic fracture patients.
- To refine surgical approaches for pelvic and sacral fractures.
Summary:
- 1566 patients with pelvic fractures were analyzed, with a focus on fracture patterns, trauma severity, and treatment methods.
- Overall mortality was 18.1%, significantly correlated with the Hannover Polytrauma Score (PTS) and associated injuries.
- Internal fixation was performed in 195 patients, leading to standardized procedures and a focus on minimally invasive techniques for sacral fractures.
Impact:
- Established standardized procedures for internal fixation of pelvic fractures.
- Promoted differentiated, minimally invasive surgical techniques for sacral fractures.
- Demonstrated the benefit of early open reduction and internal fixation in managing severely injured patients.