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    Pelvic Fractures

    Uploaded by

    jothi

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 8

    PELVIC FRACTURES &

    FIXATION DEVICES
    J.E.Tannebaum PGY4 General Surgery
    Pelvic Fractures
     Lateral Compression
     Types I-III
     Horizontally oriented pubic
    fractures
     force is from side

     Anteroposterior Compression
     Types I-III
     Sagittal disruptive force
    (MVAs)
     Anterior pelvic disruption

     Vertical Shear
    Lateral Compression
     Horizontally oriented pubic fractures (force is from side)

     Type I
     Sacral compression fx on side of impact
     Type II
     Iliac wing fracture on side of impact
     Type III
     LC type I or II fracture + contralateral Anteroposterior Compression Fracture
    Anteroposterior Compression

     Type I
     pubic rami or ligament disruption
     Slight widening of symphysis
     Type II
     Iliac wings rotated externally “hinging” at SI joint posterior aspect
     “Open Book”
     Type III
     Complete disruption of sacroiliac ligaments
     unstable
    Vertical Shear

     Fall from heights


     Anterior: both pubic ramis fractured
     Posterior: SI complex or sacral fracture
    Pelvic Stabilization
     Goal: reduce pelvic volume to decrease
    hemorrhage (earlier tamponade)
     External Pelvic Fixation (EPF)
     Standard

     Invasive

     Temporary stabilization
     Quickly applied (5-60min)
     Lower transfusion volumes at 24h & 48h
     C-clamp
     T-pod
    Journal of TRAUMA® Injury, Infection, and Critical Care • Volume 71, Number 6,
    December 2011 EAST Pelvic Fracture Guidelines
    Pelvic Stabilization
     “because of their ease of use and fast
    application, TPBs have largely replaced the
    pelvic C-Clamp and EPF for early
    mechanical stability in pelvic fracture”

    Journal of TRAUMA® Injury, Infection, and Critical Care • Volume 71, Number 6,
    December 2011 EAST Pelvic Fracture Guidelines
    References
     Wheeless’ Textbook of Orthopedics
     Accessed online 11/27/12
     http://www.wheelessonline.com/ortho/classification_1

     Young JW, Resnik CS. Fracture of the pelvis: current


    concepts of classification. AJR, Dec 1990,
    155:1169-1175.
     Journal of TRAUMA® Injury, Infection, and Critical
    Care • Volume 71, Number 6, December 2011
    EAST Pelvic Fracture Guidelines

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