title: Open pelvic fracture associated with lumbosacral dislocation and extensive perineal injury.
abstract: Open pelvic fractures are caused by high-energy trauma. Injuries to other organs are common and the mortality rate can be as high as 50%. Perineal injury is reported in 5% of open pelvic fractures. We report a case of a 31-year-old man that had an open pelvic injury with Denis zone III fracture of the sacrum, lumbosacral dislocation, symphysis dislocation, bilateral pubic rami fractures and an extensile perineal wound. He underwent an early diverting colostomy in order to prevent pelvic sepsis and subsequent stage reconstruction of the pelvic ring. At a 4-year follow-up a full recovery was present. The aim of this paper is to underline the importance of a safe, approach to manage open pelvic fractures.
authors.affiliation: Department of Orthopedics and Traumatology, Ospedale Papa Giovanni XXIII, Bergamo, Italy. Electronic address: gigiriz@tin.it.
authors.forename: Luigi
authors.initials: L
authors.lastname: Rizzi
authors.affiliation: Department of Orthopedics and Traumatology, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Castelli
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001003:Anal Canal / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003125:Colostomy / Q000379:methods; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008161:Lumbosacral Region / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries*; D010502:Perineum / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D017410:Practice Guidelines as Topic; D020127:Recovery of Function; D018805:Sepsis / Q000517:prevention & control; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: lumbosacral dislocation; open pelvic fracture; perineal injury; surgical treatment