• Orthop. Clin. North Am. · Jul 2016

    Review

    Management of Pelvic Ring Injuries in Unstable Patients.

    • Matthew I Rudloff and Kostas M Triantafillou.
    • Department of Orthopaedic Surgery, Campbell Clinic, University of Tennessee, 1211 Union Avenue, Suite 500, Memphis, TN 38002, USA. Electronic address: mrudloff@campbellclinic.com.
    • Orthop. Clin. North Am. 2016 Jul 1; 47 (3): 551-63.

    AbstractHigh-energy pelvic ring injuries can represent life-threatening injuries in the polytraumatized patient, particularly when presenting with hemodynamic instability. These injuries mandate a systematic multidisciplinary approach to evaluation, and timely intervention to address hemorrhage while concomitantly addressing mechanical instability. These pelvic injuries are associated with potentially lethal hemorrhage originating from venous, arterial, and osseous sources. A thorough understanding of anatomy, radiographic findings, and initial physical examination can alert one to the presence of pelvic instability necessitating emergent treatment. The focus is on hemorrhage control, using techniques for skeletal stabilization, angiography, and open procedures to decrease mortality in this high-risk patient population. Copyright © 2016 Elsevier Inc. All rights reserved.

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