Injury
Volume 38, Issue 10 , Pages 1151-1157 , October 2007

A pelvic fracture model for the assessment of treatment options in a laboratory environment

  • Dietmar Krappinger

      Affiliations

    • Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Heinrich Schubert

      Affiliations

    • Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Volker Wenzel

      Affiliations

    • Department of Anaesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
    • ,
  • Michael Rieger

      Affiliations

    • Department of Radiology I, Medical University Innsbruck, Innsbruck, Austria
    • ,
  • Karl-Heinz Stadlbauer

      Affiliations

    • Department of Anaesthesiology and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria
    • ,
  • Michael Blauth

      Affiliations

    • Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
    • ,
  • Werner Schmoelz

      Affiliations

    • Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
    • Corresponding Author InformationCorresponding author. Tel.: +43 512 504 22413; fax: +43 512 504 25743.

,Accepted 19 December 2006.

References 

  1. Baranto A, Ekstrom L, Holm S, et al. Vertebral fractures and separations of endplates after traumatic loading of adolescent porcine spines with experimentally-induced disc degeneration. Clin Biomech. 2005;20:1046–1054
  2. Bickell WH, Wall MJ, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331:1105–1109
  3. Biffl WL, Smith WR, Moore EE, et al. Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures. Ann Surg. 2001;233:843–850
  4. Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma. 1990;30:848–856
  5. Capone AC, Safar P, Stezoski W, et al. Improved outcome with fluid restriction in treatment of uncontrolled hemorrhagic shock. J Am Coll Surg. 1995;180:49–56
  6. Comstock CP, van der Meulen MC, Goodman SB. Biomechanical comparison of posterior internal fixation techniques for unstable pelvic fractures. J Orthop Trauma. 1996;10:517–522
  7. Dalal SA, Burgess AR, Siegel JH, et al. Pelvic fracture in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma. 1989;29:981–1000
  8. Dries DJ. Hypotensive resuscitation. Shock. 1996;6:311–316
  9. Dujardin FH, Roussignol X, Hossenbaccus M, et al. Experimental study of the sacroiliac joint micromotion in pelvic disruption. J Orthop Trauma. 2002;16:99–103
  10. Eastridge BJ, Starr A, Minei JP, et al. The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions. J Trauma. 2002;53:446–450
  11. Fangio P, Asehnoune K, Edouard A, et al. Early embolization and vasopressor administration for management of life-threatening hemorrhage from pelvic fracture. J Trauma. 2005;58:978–984
  12. Ghanayem AJ, Wilber JH, Lieberman JM, et al. The effect of laparotomy and external fixator stabilization on pelvic volume in an unstable pelvic injury. J Trauma. 1995;38:396–400
  13. Grimm MR, Vrahas MS, Thomas KA. Pressure–volume characteristics of the intact and disrupted pelvic retroperitoneum. J Trauma. 1998;44:454–459
  14. Gustavo PJ, Coimbra R, Rasslan S, et al. The role of associated injuries on outcome of blunt trauma patients sustaining pelvic fractures. Injury. 2000;31:677–682
  15. Kheirabadi BS, Acheson EM, Deguzman R, et al. Hemostatic efficacy of two advanced dressings in an aortic hemorrhage model in Swine. J Trauma. 2005;59:25–34
  16. Kowalenko T, Stern S, Dronen S, et al. Improved outcome with hypotensive resuscitation of uncontrolled hemorrhagic shock in a swine model. J Trauma. 1992;33:349–353
  17. Lundin O, Ekstrom L, Hellstrom M, et al. Injuries in the adolescent porcine spine exposed to mechanical compression. Spine. 1998;23:2574–2579
  18. McMurtry R, Walton D, Dickinson D, et al. Pelvic disruption in the polytraumatized patient: a management protocol. Clin Orthop Relat Res. 1980;151:22–30
  19. Melton LJ, Sampson JM, Morrey BF, et al. Epidemiologic features of pelvic fractures. Clin Orthop Relat Res. 1981;155:43–47
  20. Pohlemann T, Bosch U, Gansslen A, et al. The Hannover experience in management of pelvic fractures. Clin Orthop Relat Res. 1994;305:69–80
  21. Pohlemann T, Krettek C, Hoffmann R, et al. Biomechanical comparison of various emergency stabilization measures of the pelvic ring. Unfallchirurg. 1994;97:503–510[article in German]
  22. Raedler C, Voelckel WG, Wenzel V, et al. Treatment of uncontrolled hemorrhagic shock after liver trauma: fatal effects of fluid resuscitation versus improved outcome after vasopressin. Anesth Analg. 2004;98:1759–1766
  23. Ragnarsson B, Jacobsson B. Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand. 1992;63:297–300
  24. Sagi HC, Ordway NR, DiPasquale T. Biomechanical analysis of fixation for vertically unstable sacroiliac dislocations with iliosacral screws and symphyseal plating. J Orthop Trauma. 2004;18:138–143
  25. Stadlbauer KH, Wagner-Berger HG, Raedler C, et al. Vasopressin, but not fluid resuscitation, enhances survival in a liver trauma model with uncontrolled and otherwise lethal hemorrhagic shock in pigs. Anesthesiology. 2003;98:699–704
  26. Starr AJ, Griffin DR, Reinert CM, et al. Pelvic ring disruptions: prediction of associated injuries, transfusion requirement, pelvic arteriography, complications, and mortality. J Orthop Trauma. 2002;16:553–561
  27. Tile M. Pelvic ring fractures: should they be fixed?. J Bone Joint Surg Br. 1988;70:1–12

☆ Supported, in part, by the Austrian National Bank Project Nos. 10618 and 11448.

PII: S0020-1383(06)00692-9

doi: 10.1016/j.injury.2006.12.017

Injury
Volume 38, Issue 10 , Pages 1151-1157 , October 2007

Article Tools

* Image Usage & Resolution