Pelvic injuries associated with traumatic abduction of the leg.
We report a series of six severe pelvic injuries associated with traumatic abduction of the leg. All sustained a severe fracture of the pelvis associated with a deep perineal wound extending into the anus. Laparotomy was usually required to control haemorrhage and packing was only effective once the pelvis had been stabilized by external fixation. A sigmoid loop colostomy was required in all five initial survivors because of sphincter disruption, but three out of four long-term survivors are now fully continent. If mortality is to be reduced, blood loss must be rapidly controlled and sepsis prevented.
Beard
J D
JD
Department of Surgery, Frenchay Hospital, Bristol.
Davidson
C M
CM
Scott
D J
DJ
Turner
A G
AG
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D005592:Fracture Fixation; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D007813:Laparotomy; D007869:Leg Injuries / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries*; D010502:Perineum / Q000293:injuries*