PELVIC FRACTURES – MEDICAL-SURGICAL EMERGENCY
Abstract:
The management of patients with pelvic fractures, in special cases with hemodynamic
instability related to pelvic fracture is a major challenge, with high morbidity and mortality. Severe
pelvic fractures pose a great challenge for physicians. The purpose of this review is to highlight recent
changes in the management of patients with pelvic fractures. In this review, the current stains of pelvic
fracture management is presented including an evaluation of roles of angioembolization and
preperitoneal packing, recently proposed algorithm for management. In present study, the bilateral iliac
artery ligation as a salvage surgery is reviewed and the early (<24h) pelvic fracture operative fixation.
The key elements in pelvic fractures management are the adequate resuscitation, reverse acidosis and
shock and the early, definitive control of hemorrhage. A multidisciplinary approach has been shown to
reduce the mortality rates.
full text article in Romanian (.RO) |
full text article in English (.EN) |