• Injury · Dec 2015

    Open pelvic fracture associated with lumbosacral dislocation and extensive perineal injury.

    • Luigi Rizzi and Claudio Castelli.
    • Department of Orthopedics and Traumatology, Ospedale Papa Giovanni XXIII, Bergamo, Italy. Electronic address: gigiriz@tin.it.
    • Injury. 2015 Dec 1; 46 Suppl 7: S44-7.

    AbstractOpen pelvic fractures are caused by high-energy trauma. Injuries to other organs are common and the mortality rate can be as high as 50%. Perineal injury is reported in 5% of open pelvic fractures. We report a case of a 31-year-old man that had an open pelvic injury with Denis zone III fracture of the sacrum, lumbosacral dislocation, symphysis dislocation, bilateral pubic rami fractures and an extensile perineal wound. He underwent an early diverting colostomy in order to prevent pelvic sepsis and subsequent stage reconstruction of the pelvic ring. At a 4-year follow-up a full recovery was present. The aim of this paper is to underline the importance of a safe, approach to manage open pelvic fractures.Copyright © 2015 Elsevier Ltd. All rights reserved.

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