[Surgical management of complications of open pelvic injuries].
Open pelvic fractures are rare fractures usually resulting from a severe trauma. Only 4 of 121 patients treated operatively in 1994 for a pelvic trauma showed an open injury. The high lethality is caused by two complications: in the early phase the patient is threatened by bleeding to death and in the following course sepsis determines the lethal outcome. Only an aggressive surgical management prevents or treats such complications. The presented concept comprises in the end the hemipelvectomy and an intensive care management for prophylaxis of septic complications. So the lethality was diminished.
Chirurgische Universitätsklinik und Poliklinik, BG-Kliniken Bergmannsheil, Bochum.
R
R
Smektala
M P
MP
Hahn
M
M
Henkel
G
G
Muhr
D000062:Accidents, Occupational; D000328:Adult; D003422:Critical Care; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000150:complications / Q000401:mortality / Q000601:surgery*; D006428:Hemipelvectomy; D006470:Hemorrhage / Q000150:complications / Q000401:mortality / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000401:mortality / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000401:mortality / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D015996:Survival Rate; D016896:Treatment Outcome
Chirurgisches Management der Komplikationen offener Beckenverletzungen.