title: Open pelvic fractures: epidemiology, current concepts of management and outcome.
abstract: 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.
authors.affiliation: Department of Trauma and Orthopaedics, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
authors.forename: M R W
authors.initials: MR
authors.lastname: Grotz
authors.forename: M K
authors.initials: MK
authors.lastname: Allami
authors.forename: P
authors.initials: P
authors.lastname: Harwood
authors.forename: H C
authors.initials: HC
authors.lastname: Pape
authors.forename: C
authors.initials: C
authors.lastname: Krettek
authors.forename: P V
authors.initials: PV
authors.lastname: Giannoudis
mesh_terms: 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