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Related Experiment Videos

Open pelvic fractures

J D Richardson, J Harty, M Amin

    The Journal of Trauma
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Open pelvic fractures are severe injuries. A graded management approach effectively controlled bleeding and improved survival rates to 94.5% in 35 patients, significantly reducing mortality from hemorrhage.

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    Area of Science:

    • Trauma Surgery
    • Surgical Critical Care

    Background:

    • Open pelvic fractures present a high mortality risk, primarily due to massive hemorrhage and pelvic sepsis.
    • Effective hemorrhage control and infection prevention are critical for patient survival.

    Purpose of the Study:

    • To evaluate a graded management approach for hemorrhage control in open pelvic fractures.
    • To assess the impact of this strategy on patient survival and morbidity.

    Main Methods:

    • A series of 35 patients with open pelvic fractures were treated using a graded hemorrhage control protocol.
    • Interventions included wound packing, anti-shock trousers, angiographic embolization, and hemipelvectomy.
    • Infection prevention strategies involved diverting colostomy for specific wounds and selective management of anterior soft-tissue injuries.

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    Main Results:

    • Hemorrhage was controlled in all but one patient, with an average blood loss of 15 units.
    • The overall survival rate was 94.5%, with mortality attributed to hemorrhage in one case and head injury in another.
    • Soft-tissue infections were managed through debridement and frequent dressing changes under anesthesia.

    Conclusions:

    • A graded approach to hemorrhage management is highly effective in open pelvic fractures.
    • Proactive infection control measures, including diverting colostomy when indicated, are crucial.
    • Associated genitourinary and peripheral nerve injuries contribute significantly to long-term morbidity.