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Fractures of the pelvis in children: a review of the literature

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Trauma is the leading cause of death in children. Pelvic ring injuries account for 0.3–4 % of all paediatric injuries. The pattern of fractures differs to that seen in adults as it is more ductile. Pelvic ring injuries tend to be more stable as the relatively thick periosteum restricts bony displacement. Intrapelvic viscera are not well protected and can sustain injury in the absence of pelvic fractures. These injuries have traditionally been treated non-operatively. In this paper, we comprehensively review the literature and propose a protocol for treatment taking into consideration associated organ injuries, hemodynamic status of the patient, patient’s age, type of fracture and the stability of the pelvic ring.

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Authors and Affiliations

  1. Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum der Stadt, Wolfsburg, Sauerbruchstraße 7, 38440, Wolfsburg, Germany

    Axel Gänsslen

  2. The Royal London Hospital, Barts and the London School of Medicine and Dentistry, University of London, London, E1 1BB, UK

    Nima Heidari

  3. Department of Paediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 7a, 8036, Graz, Austria

    Annelie M. Weinberg

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  1. Axel Gänsslen
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  3. Annelie M. Weinberg
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Correspondence to Nima Heidari.

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Gänsslen, A., Heidari, N. & Weinberg, A.M. Fractures of the pelvis in children: a review of the literature. Eur J Orthop Surg Traumatol 23, 847–861 (2013). https://doi.org/10.1007/s00590-012-1102-0

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