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Updated: Feb 9, 2026

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An algorithm to avoid missed open-book pelvic fractures.

N Habib1, G Filardo, M Delcogliano

  • 1Department of Orthopaedics and Traumatology, Lugano Regional Hospital, Switzerland. christian.candrian@eoc.ch.

European Review for Medical and Pharmacological Sciences
|June 5, 2018
PubMed
Summary
This summary is machine-generated.

Pelvic binders are standard for polytrauma patients but can mask fractures. Releasing binders before imaging is crucial for accurate diagnosis and improved survival rates in pelvic fracture management.

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Area of Science:

  • Trauma surgery
  • Emergency medicine
  • Radiology

Background:

  • Pelvic binders are standard for polytrauma patients to control hemorrhage.
  • Anatomic reduction by binders may obscure pelvic fractures on initial imaging.

Observation:

  • Three cases of open-book pelvic fractures were initially missed despite binder application.
  • Computed tomography scans initially excluded diastasis of the symphysis pubis.

Findings:

  • Fractures were only evident upon binder removal and repeat radiological imaging.
  • A novel algorithm is proposed for optimal management of pelvic binder use.

Implications:

  • The algorithm aims to reduce missed pelvic fracture diagnoses in polytrauma.
  • Early diagnosis and appropriate management can improve patient survival rates.