Advertisement
Research Article| Volume 27, SUPPLEMENT 1, 24-28, 1996

The early management of pelvic and acetabular fractures

  • D.A. Ward
    Correspondence
    Address of correspondence: Mr. D.A. Ward Orthopaedic Senior Registrar Kingston Hospital, Galsworthy Road Kingston-Upon-Thames, Surrey KT2 7QB, U.K.
    Affiliations
    Orthopaedic Senior Registrar, Kingston Hospital, Galsworthy Road, Kingston-Upon-Thames, Surrey KT2 7QB, UK
    Search for articles by this author
  • M.D. Bircher
    Affiliations
    Consultant Orthopaedic Surgeon, St George's Hospital, Blackshaw Road, London SW17 OQT, UK
    Search for articles by this author
DOI:https://doi.org/10.1016/S0020-1383(96)90108-4
The early management of pelvic and acetabular fractures
Previous ArticleVolume changes within the true pelvis during disruption of the pelvic ring - Where does the haemorrhage go?
Next ArticleAlgorithms for early management of pelvic fractures
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      One hundred consecutive referrals with pelvic and acetabular fractures treated over a three year period were reviewed with regard to their early management. Early management was subdivided into four areas: 1. initial assessment and treatment; 2. imaging; 3. referral; 4. management of associated injuries. The cases comprised 26 pelvic fractures (18 treated operatively), 69 acetabular fractures (50 treated operatively), and 5 combination fractures (3 treated operatively). Guidelines were laid down in each of the four areas of management and each patient's management was compared with this ideal. 56% of cases had deficient management by our criteria. There were important failures in diagnosis and early treatment of these complex injuries. A set of simple guidelines is offered to help improve the situation.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Tile M.
        Pelvic ring fractures: Should they be fixed?.
        J. Bone Joint Surgery. 1988; 70B: 1-12
        • Kellam J.F.
        • McMurty R.Y.
        • Paley D.
        • Tile M.
        The unstable pelvic fracture: operative treatment.
        Orthop. Clin. North Am. 1987; 18: 25-41
        • Letournel E.
        Acetabulum fractures: Classification and management.
        Clin. Orthop. 1980; 151: 81-106
        • Burgess A.R.
        • Eastridge B.J.
        • Young W.R.
        • et al.
        Pelvic ring distruptions: Effective classification system and treatment protocols.
        J. Trauma. 1990; 30: 848-856
        • American College of Surgeons
        Advanced Trauma Life Support Course Manual.
        in: 1989: 121
        • Dalal S.A.
        • Burgess A.R.
        • Siegel J.H.
        • et al.
        Pelvic fractures in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements and outcome.
        J. Trauma. 1989; 29: 981-1002
        • Young J.W.R.
        • Burgess A.R.
        • Brumback R.J.
        • et al.
        Pelvic fractures — value of plain radiography in early assessment and management.
        Radiology. 1986; 160: 445-451
        • McMurty R.
        • Walton D.
        • Dickinson D.
        • et al.
        Pelvic distruption in the polytraumatized patient: A management protocol.
        Clin. Orthop. 1980; 151: 46-55
        • Liebergall M.
        • Lowe J.
        • Whitelaw G.P.
        • et al.
        The floating hip.
        J. Bone Joint Surg. 1992; 74B: 93-100

      Article info

      Identification

      DOI: https://doi.org/10.1016/S0020-1383(96)90108-4

      Copyright

      © 1996 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX