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Pelvic Fracture Care.

Wade T Gordon1, Mark E Fleming1, Anthony E Johnson1

  • 1Joint Trauma System, 3698 Chambers Pass, Building 3611, JBSA Fort Sam Houston, San Antonio, TX.

Military Medicine
|September 7, 2018
PubMed
Summary
This summary is machine-generated.

Combat pelvis fractures require immediate hemorrhage control and stabilization, similar to civilian cases but adapted for austere environments. Definitive internal fixation is deferred until higher-level care is accessible.

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Military Medicine

Background:

  • Combat-related pelvis fractures present unique challenges due to higher energy mechanisms and austere environments.
  • Management principles share similarities with civilian fractures but are constrained by resource availability.

Purpose of the Study:

  • To outline the initial management principles for combat-related pelvis fractures.
  • To highlight differences in management compared to civilian settings.

Main Methods:

  • Initial management focuses on hemorrhage control, multidisciplinary care for associated injuries, and skeletal stabilization.
  • Techniques include compressive sheets, pelvic binders, and external fixation when feasible.
  • Debridement of open wounds is performed as necessary.

Main Results:

  • Early management prioritizes life-saving interventions and stabilization in resource-limited settings.
  • Definitive internal fixation is typically delayed until the patient reaches a higher echelon of care.

Conclusions:

  • Effective management of combat pelvis fractures hinges on adapting standard principles to austere conditions.
  • Prioritization of hemorrhage control, stabilization, and staged definitive treatment is crucial for improved outcomes.