Open pelvic fractures: epidemiology, current concepts of management and outcome.
Open pelvic fractures constitute one of the most devastating injuries in musculo-skeletal trauma and must be treated aggressively, incorporating a multidisciplinary approach. Early treatment, focusing on prevention of haemorrhage and sepsis, is essential. The management of associated soft tissue injuries must also be aggressive, including early administration of broad-spectrum antibiotics and repeated, meticulous wound debridement and irrigation. Selective faecal diversion, based on wound location, is compulsory and safe, minimising the risk of sepsis and reducing mortality rates.
Grotz
M R W
MR
Department of Trauma and Orthopaedics, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
Allami
M K
MK
Harwood
P
P
Pape
H C
HC
Krettek
C
C
Giannoudis
P V
PV
D000465:Algorithms; D003125:Colostomy / Q000379:methods; D003646:Debridement / Q000379:methods; D004638:Emergency Treatment / Q000379:methods; D005592:Fracture Fixation / Q000379:methods; D005597:Fractures, Open / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D010388:Pelvis / Q000293:injuries*; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D014566:Urogenital System / Q000293:injuries / Q000601:surgery