[Experience in the management of open pelvic fractures at the Mexican Red Cross Trauma Center].
A prospective, descriptive study was conducted at the Trauma and Orthopedics Service from January 1st, 2006 to January 1st, 2009; all patients with a diagnosis of open pelvic fracture were included. A total of 112 patients with pelvic fracture were seen at the Emergency Room; 12 of them with an open pelvic fracture; 75% were males, most of them ages 31 to 45 years of age; they were stabilized with a circular pelvic binder and external fixators with a V technique; a gastrointestinal bypass with colostomy was performed; 3 patients died within the first few hours due to hypovolemic shock, 5 survived a mean of 25 days and died due to other causes, and four patients were discharged alive. These lesions have a mortality rate of 66.66%; mediate mortality resulting from massive bleeding occurred in 25% and survival was 33.33%. The most frequent fractures (39.28%) according to the Tile classification were type C, which are the most unstable ones; according to the Bircher-Hargrove classification, most cases were type C, which are the most severe lesions and involve a high mortality rate and risk of contamination; it is therefore important to perform a gastrointestinal bypass and an emergency colostomy as part of the initial patient management.
Torres Castro
Carlos
C
Servicio de Traumatología y Ortopedia Centro de Trauma, Cruz Roja Mexicana. carlos_tc15@hotmail.com
Bello González
Alejandro
A
Ortuño Numbela
Boris Xavier
BX
D000328:Adult; D005260:Female; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D014193:Trauma Centers