Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 115-122

Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures

Ahmet Harma1, Muharrem İnan1
İnönü Üniversitesi Turgut Özal Tıp Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Malatya

BACKGROUND: We evaluated the clinical effectiveness of emergency pelvic external stabilization (EPES) as a first step of resuscitation and pelvic stabilization in trauma patients with hemodynamic and/or fracture instabilities. METHODS: Twenty-three patients (12 males, 11 females; mean age 32 years; range 9 to 67 years) with high risk pelvic fractures underwent EPES. The presence of a systolic blood pressure equal to or below 90 mmHg, vertical and/or rotational instabilities, or fractures at risk were defined as high risk fractures. Pelvic fractures were assessed according to the Tile’s classification. RESULTS: Hemodynamic instability was detected in 10 patients. The mean durations to the elective pelvic stabilization were three days (range 2 to 8 days) and 17.7 days (range 7 to 28 days) in patients with or without hemodynamic instability, respectively. The mean duration for EPES application was below 30 minutes (range 20 to 40 minutes). No deaths occurred due to blood loss caused by pelvic fractures. One
patient died due to sepsis 14 days after hemodynamic stabilization. Superficial pin-track infections of grade 1 were detected in five patients, four of whom were treated with local dressings. In one patient, two pins had to be replaced because of loosening. CONCLUSION: Emergency pelvic external stabilization for resuscitation and high risk fractures is an effective intervention in the acute phase of polytraumatized patients presenting with high risk pelvic fractures.



Acil pelvik eksternal stabilizasyon: Yüksek riskli pelvis kırıklarında ilk adım

Ahmet Harma1, Muharrem İnan1
İnönü Üniversitesi Turgut Özal Tıp Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Malatya



Ahmet Harma, Muharrem İnan. Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures. Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 115-122


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