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Pelvic and Acetabular Fractures

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Cannulated Screw Fixation

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Abstract

Significant or displaced fractures of the pelvic ring and acetabulum constitute a diverse group of skeletal injuries that usually result from motor vehicular accidents, industrial trauma, or falls from great heights. The typical pelvic ring disruption requires the application of immense forces to the patient, who thereby is likely to present with other serious or life-threatening injuries involving the musculoskeletal (85%), respiratory (60%), central nervous (40%), gastrointestinal (30%), urologic (12%), and cardiovascular (6%) systems.1 The management of a pelvic ring fracture, therefore, requires a concomitant diagnosis and treatment of the other systemic and musculoskeletal injuries. About 50% of acetabular fracture patients have sustained associated injuries, and about 30% have experienced injuries to three or more organ sys­tems. As McMurtry et al.,2 Tile,3 and others4 have emphasized, a meticulous diagnostic protocol is needed that prioritizes the evaluation of diverse organ systems by the degree of urgency. From a recent report by Dalal et al.,5 a correlation of the pelvic injury pattern with the statistical likelihood for particular patterns of associated visceral injuries may facilitate the application of diverse diagnostic procedures.

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Authors
  1. Dana C. Mears
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Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Cornell University Medical College, Hospital for Special Surgery, 10021, New York, NY, USA

    Stanley E. Asnis M.D. (Clinical Associate Professor) (Clinical Associate Professor)

  2. North Shore University Hospital, 11030, Manhasset, NY, USA

    Stanley E. Asnis M.D. (Clinical Associate Professor) (Clinical Associate Professor)

  3. Department of Orthopaedic Surgery, University of Minnesota, 55404, Minneapolis, MN, USA

    Richard F. Kyle M.D. (Associate Professor, Chairman) (Associate Professor, Chairman)

  4. Department of Orthopaedic Surgery, Hennepin County Medical Center, 55404, Minneapolis, MN, USA

    Richard F. Kyle M.D. (Associate Professor, Chairman) (Associate Professor, Chairman)

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© 1996 Springer-Verlag New York, Inc.

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Mears, D.C. (1996). Pelvic and Acetabular Fractures. In: Asnis, S.E., Kyle, R.F. (eds) Cannulated Screw Fixation. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2326-9_7

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  • DOI: https://doi.org/10.1007/978-1-4612-2326-9_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7503-9

  • Online ISBN: 978-1-4612-2326-9

  • eBook Packages: Springer Book Archive

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