PMID: 8614081May 1, 1996Paper

Internal fixation in pelvic fractures and primary repairs of associated genitourinary disruptions: a team approach

The Journal of Trauma
M L RouttT Clarke

Abstract

Associated urological and orthopedic injuries of the pelvic ring are complex with numerous potential complications. These patients are treated optimally using a team approach. The combined expertise is not only helpful initially when managing these difficult patients, but also later as problems develop. This study describes a treatment protocol and reports the early results of 23 patients with unstable pelvic fractures and associated bladder or urethral disruptions, or both, treated surgically with open reduction and internal fixation of the anterior pelvic ring injuries at the same anesthetic and using the same surgical exposure as the urethral realignments or bladder repairs or both. Early complications occurred in four patients (17%): one patient sustained a fifth lumbar nerve injury caused by the pelvic reduction procedure, and three patients had anterior pelvic internal fixation failures. Late complications occurred in eight patients (35%). There was one deep wound infection (4.3%) that presented 6 weeks after injury. Late urological complications occurred in seven patients (30%). Four of the nine male patients with urethral disruptions had urethral stricture after their primary urethral realignments (44%). Three of the 18...Continue Reading

References

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Citations

Mar 26, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·S V BariolD A Tolley
Jul 18, 2000·Journal of Orthopaedic Trauma·J A SwitzerM L Routt
Jul 3, 2008·Journal of Orthopaedic Trauma·H Claude Sagi, Steve Papp
Nov 4, 2011·Journal of Orthopaedic Trauma·Michael J GardnerWilliam M Ricci
Mar 29, 2001·Irish Journal of Medical Science·M S KhanM R Butler
Nov 12, 2013·Urology·Reynaldo G GómezRichard Santucci
Jul 1, 1997·The Orthopedic Clinics of North America·M L RouttM F Swiontkowski
Jul 1, 1997·The Orthopedic Clinics of North America·R Taffet
Mar 19, 2005·The Journal of Bone and Joint Surgery. British Volume·P J HarwoodP V Giannoudis
May 5, 2010·BJU International·Gregory J WirthChristophe E Iselin
Jul 28, 2013·The Journal of Trauma and Acute Care Surgery·Fernando J KimPhilip F Stahel
Mar 3, 2012·Clinical Orthopaedics and Related Research·David J MerrimanMichael J Gardner
Jan 5, 2011·The Journal of Bone and Joint Surgery. British Volume·S E PutnisM S Rickman
Jan 1, 2013·JBJS Case Connector·Blake E PetersonBrett D Crist
Mar 9, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Nikolaos Konstantinou KanakarisPeter Vasiliou Giannoudis
Nov 24, 1999·Injury·P J Kregor, M L Routt
Sep 14, 2001·Emergency Medicine Clinics of North America·D A DreitleinJ Basler

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