Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality

Trauma Surgery & Acute Care Open
Sammy S SiadaKimberly A Grannis

Abstract

Open pelvic fracture, caused by a blunt mechanism, is an uncommon injury with a high mortality rate. In 2008, evidence-based algorithm for managing pelvic fractures in unstable patients was published by the Western Trauma Association (WTA). The use of massive transfusion protocols has become widespread as has the availability and use of pelvic angiography. The purpose of this study was to evaluate the outcome of open pelvic fractures in association with related advances in trauma care. A retrospective review was performed, at an American College of Surgeon verified level I trauma center, of patients with blunt open pelvic fractures from January 2010 to April 2016. The WTA algorithm, including massive transfusion protocol, and pelvic angiography were uniformly used. Data collected included injury severity score, demographic data, transfusion requirements, use of pelvic angiography, length of stay, and disposition. Data were compared with a similar study from 2005. During the study period, 1505 patients with pelvic fractures were analyzed; 87 (6%) patients had open pelvic fractures. Of these, 25 were from blunt mechanisms and made up the study population. Patients in both studies had similar injury severity scores, ages, Glasgow ...Continue Reading

References

Mar 1, 1978·The Journal of Trauma·D RothenbergerJ F Perry
Mar 1, 1991·The Journal of Bone and Joint Surgery. British Volume·P B HansonM W Chapman
Jul 1, 1982·The Journal of Trauma·J D RichardsonL M Flint
Sep 1, 1994·Archives of Surgery·P D FaringerD D Trunkey
Jul 1, 1997·The Orthopedic Clinics of North America·A L JonesP Wimmer
Mar 28, 1998·Archives of Surgery·R K WoodsR V Maier
Aug 26, 1998·The Journal of Trauma·M PellR W Seibel
Nov 26, 2005·American Journal of Surgery·Christopher J DenteWalter L Ingram
Jul 28, 2009·Journal of the American College of Surgeons·Daniel J RiskinSusan I Brundage
Dec 17, 2010·The American Journal of Emergency Medicine·Chih-Yuan FuYi-Chieh Huang
Dec 3, 2014·American Journal of Surgery·Caitlin A FitzgeraldChristopher J Dente
Jun 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D D Yeh, G C Velmahos
Nov 3, 2017·Current Opinion in Critical Care·Philip F StahelErnest E Moore

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Citations

Oct 3, 2020·JBJS Reviews·Jillian M KazleyCory M Czajka
Sep 29, 2020·Frontiers in Surgery·Rachel J Watkins, Jeremy M Hsu
Nov 17, 2020·Journal of Clinical Orthopaedics and Trauma·Nicholas FraneMichael Linn
Mar 7, 2020·Injury·Meng MiPeter V Giannoudis

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Methods Mentioned

BETA
X-ray
lavage
ISS

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