Unstable Pelvic Fractures: Multimedia

References

1. Holdsworth FW. Dislocation and Fracture-Dislocation of the Pelvis. J Bone and Joint Surg Am. 1948;30B:461-466.

2. Slatis P, Huittinen VM. Double vertical fractures of the pelvis: a report on 163 patients. Acta Chir Scand. 1972;138:799-807.

3. Tile M. Pelvic ring fractures: should they be fixed?. J Bone Joint Surg Br. Jan 1988;70(1):1-12. [Medline].

4. Matta JM, Saucedo T. Internal fixation of pelvic ring fractures. Clin Orthop. May 1989;(242):83-97. [Medline].

5. Routt ML, Meier MC, Kregor PJ. Percutaneous Iliosacral Screws with the Patient Supine Technique. Tech Orthop. 1993;3(1):35-45.

6. Gilliland MD, Ward RE, Barton RM, et al. Factors affecting mortality in pelvic fractures. J Trauma. Aug 1982;22(8):691-3. [Medline].

7. Riemer BL, Butterfield SL, Diamond DL, et al. Acute mortality associated with injuries to the pelvic ring: the role of early patient mobilization and external fixation. J Trauma. Nov 1993;35(5):671-5; discussion 676-7. [Medline].

8. Lunsjo K, Tadros A, Hauggaard A, Blomgren R, Kopke J, Abu-Zidan FM. Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma. Mar 2007;62(3):687-91. [Medline].

9. Burgess AR, Eastridge BJ, Young JW. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma. Jul 1990;30(7):848-56. [Medline].

10. Tile M. Acute Pelvic Fractures: I. Causation and Classification. J Am Acad Orthop Surg. May 1996;4(3):143-151. [Medline].

11. Tile M. Acute Pelvic Fractures: II. Principles of Management. J Am Acad Orthop Surg. May 1996;4(3):152-161. [Medline].

12. 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. Jul 1989;29(7):981-1000; discussion 1000-2. [Medline].

13. Borrelli J Jr, Koval KJ, Helfet DL. The crescent fracture: a posterior fracture dislocation of the sacroiliac joint. J Orthop Trauma. 1996;10(3):165-70. [Medline].

14. Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. Feb 1988;227:67-81. [Medline].

15. Metze M, Tiemann AH, Josten C. Male sexual dysfunction after pelvic fracture. J Trauma. Aug 2007;63(2):394-401. [Medline].

16. Hammond CJ, Barron DA, Spencer J. Extensive perineal soft tissue disruption with 'open-book' pelvic fracture. Emerg Radiol. Sep 18 2007;[Medline].

17. Loegters T, Briem D, Gatzka C, Linhart W, Begemann PG, Rueger JM. Treatment of unstable fractures of the pelvic ring in pregnancy. Arch Orthop Trauma Surg. Apr 2005;125(3):204-8. [Medline].

18. Edeiken-Monroe BS, Browner BD, Jackson H. The role of standard roentgenograms in the evaluation of instability of pelvic ring disruption. Clin Orthop. Mar 1989;(240):63-76. [Medline].

19. Stover MD, Summers HD, Ghanayem AJ, Wilber JH. Three-dimensional analysis of pelvic volume in an unstable pelvic fracture. J Trauma. Oct 2006;61(4):905-8. [Medline].

20. Hirvensalo E, Lindahl J, Kiljunen V. Modified and new approaches for pelvic and acetabular surgery. Injury. Apr 2007;38(4):431-41. [Medline].

21. Lopez PP. Unstable pelvic fractures: the use of angiography in controlling arterial hemorrhage. J Trauma. Jun 2007;62(6 Suppl):S30-1. [Medline].

22. Ghaemmaghami V, Sperry J, Gunst M, Friese R, Starr A, Frankel H. Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures. Am J Surg. Dec 2007;194(6):720-3; discussion 723. [Medline].

23. Poole GV, Ward EF, Muakkassa FF. Pelvic fracture from major blunt trauma. Outcome is determined by associated injuries. Ann Surg. Jun 1991;213(6):532-8; discussion 538-9. [Medline].

24. Caban A. External fixation in the treatment of pelvic fractures. Ortop Traumatol Rehabil. Dec 30 1999;1(1):49-59. [Medline].

25. Gruen GS, Leit ME, Gruen RJ, Peitzman AB. The acute management of hemodynamically unstable multiple trauma patients with pelvic ring fractures. J Trauma. May 1994;36(5):706-11; discussion 711-3. [Medline].

26. Routt MLC, Simonian PT, Inaba J. Iliosacral Screw Fixation of the Disrupted Sacroiliac Joint. Tech in Orthop. 1995;9(4):300-314.

27. Lange RH, Hansen ST Jr. Pelvic ring disruptions with symphysis pubis diastasis. Indications, technique, and limitations of anterior internal fixation. Clin Orthop. Dec 1985;(201):130-7. [Medline].

28. Failinger MS, McGanity PL. Unstable fractures of the pelvic ring. J Bone Joint Surg Am. Jun 1992;74(5):781-91. [Medline].

29. Geerts WH, Code KI, Jay RM, Chen E, Szalai JP. A prospective study of venous thromboembolism after major trauma. N Engl J Med. Dec 15 1994;331(24):1601-6. [Medline].

30. Knudson MM, Lewis FR, Clinton A. Prevention of venous thromboembolism in trauma patients. J Trauma. Sep 1994;37(3):480-7. [Medline].

31. Knudson MM, Morabito D, Paiement GD. Use of low molecular weight heparin in preventing thromboembolism in trauma patients. J Trauma. Sep 1996;41(3):446-59. [Medline].

32. Fisher CG, Blachut PA, Salvian AJ. Effectiveness of pneumatic leg compression devices for the prevention of thromboembolic disease in orthopaedic trauma patients: a prospective, randomized study of compression alone versus no prophylaxis. J Orthop Trauma. Feb 1995;9(1):1-7. [Medline].

33. Huittinen VM, Slätis P. Fractures of the pelvis. Trauma mechanism, types of injury and principles of treatment. Acta Chir Scand. 1972;138(6):563-9. [Medline].

34. Helfet DL, Koval KJ, Hissa EA. Intraoperative somatosensory evoked potential monitoring during acute pelvic fracture surgery. J Orthop Trauma. Feb 1995;9(1):28-34. [Medline].

35. Suzuki T, Shindo M, Soma K, Minehara H, Nakamura K, Uchino M. Long-term functional outcome after unstable pelvic ring fracture. J Trauma. Oct 2007;63(4):884-8. [Medline].

36. Henderson RC. The long-term results of nonoperatively treated major pelvic disruptions. J Orthop Trauma. 1989;3(1):41-7. [Medline].

37. Semba RT, Yasukawa K, Gustilo RB. Critical analysis of results of 53 Malgaigne fractures of the pelvis. J Trauma. Jun 1983;23(6):535-7. [Medline].

38. Gruen GS, Leit ME, Gruen RJ, et al. Functional outcome of patients with unstable pelvic ring fractures stabilized with open reduction and internal fixation. J Trauma. Nov 1995;39(5):838-44; discussion 844-5. [Medline].

39. Tornetta P 3rd, Dickson K, Matta JM. Outcome of rotationally unstable pelvic ring injuries treated operatively. Clin Orthop. Aug 1996;(329):147-51. [Medline].

40. Copeland CE, Bosse MJ, McCarthy ML, MacKenzie EJ, Guzinski GM, Hash CS. Effect of trauma and pelvic fracture on female genitourinary, sexual, and reproductive function. J Orthop Trauma. Feb-Mar 1997;11(2):73-81. [Medline].

41. McCarthy ML, MacKenzie EJ, Bosse MJ. Functional status following orthopedic trauma in young women. J Trauma. Nov 1995;39(5):828-36; discussion 836-7. [Medline].

Further Reading

Keywords

open-book fractures, Tile type B fractures, anterior-posterior compression injury, APC injury, lateral compression injury, LC injury, vertical shear injury, VS injury, combined mechanism injury, zone I sacral injury, zone II sacral injury, zone III sacral injury, pelvic fracture, fracture of the pelvis, acetabular fractures, lateral compression fractures, transverse fractures of the pubic rami, avulsion fracture, Young classification system, anterior-posterior compression fractures, anteroposterior compression fractures, pelvic ring injuries, broken pelvis, cracked pelvis, shattered pelvis, fractured hip, broken hip

Contributor Information and Disclosures

Author

Kenneth W Graf Jr, MD, Consulting Surgeon, Department of Orthopedic Trauma Services, Mission Hospitals
Disclosure: Nothing to disclose.

Coauthor(s)

Madhav Karunakar, MD, Consulting Surgeon, Section of Orthopedic Surgery, Department of Surgery, University of Michigan Medical Center
Madhav Karunakar, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and AO Foundation
Disclosure: Nothing to disclose.

Medical Editor

B Sonny Bal, MD, Associate Professor, Department of Orthopedic Surgery, University of Missouri School of Medicine
B Sonny Bal, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

James J McCarthy, MD, FAAOS, FAAP, Associate Professor, Consulting Orthopedic Surgeon, Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health;
James J McCarthy, MD, FAAOS, FAAP is a member of the following medical societies: Alpha Omega Alpha, American Academy for Cerebral Palsy and Developmental Medicine, American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, American Orthopaedic Association, Limb Lengthening and Reconstruction Society ASAMI-North America, Orthopaedics Overseas, Pediatric Orthopaedic Society of North America, Pennsylvania Medical Society, Pennsylvania Orthopaedic Society, and Philadelphia County Medical Society
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

William L Jaffe, MD, Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases
William L Jaffe, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, Eastern Orthopaedic Association, and New York Academy of Medicine
Disclosure: Stryker Orthopaedics Consulting fee Speaking and teaching