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Management of Pelvic Ring Injuries

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Book cover The Poly-Traumatized Patient with Fractures

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Abstract

High-energy pelvic ring fractures are life-threatening injuries. A team approach, involving general trauma surgeons, orthopedic surgeons, and other specialists, is required during the patient’s initial evaluation and resuscitation. Hemodynamic instability and associated hemorrhage require immediate action to save the patient’s life. Temporary pelvic stabilization can be achieved with a sheet, pelvic binder, military antishock trousers, C-clamp, or external fixator. In patients with continued hemodynamic instability, pelvic packing and/or angiography may also be required. The treatment algorithm for patients with pelvic ring injuries and hemodynamic instability should be standardized based on the institution’s capabilities. Various options are available for definitive surgical fixation to reestablish the anatomic integrity of the pelvic ring, and restore the patient to full function.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Denver Health/University of Colorado, 777 Bannock Street, MC 0188, Denver, CO, 80204, USA

    David J. Hak MD, MBA, FACS & Cyril Mauffrey MD, FRCS, FACS

Authors
  1. David J. Hak MD, MBA, FACS
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  2. Cyril Mauffrey MD, FRCS, FACS
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Corresponding author

Correspondence to David J. Hak MD, MBA, FACS .

Editor information

Editors and Affiliations

  1. Department of Trauma, Hand, Plastic and Reconstructive Surgery, Aachen Medical Center, Aachen, Germany

    Hans-Christoph Pape

  2. Florida Orthopaedic Institute, Temple Terrace, Florida, USA

    Roy Sanders

  3. Orthopedic Medicine Specialists, Arlington, Texas, USA

    Joseph Borrelli, Jr.

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© 2016 Springer-Verlag Berlin Heidelberg

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Hak, D.J., Mauffrey, C. (2016). Management of Pelvic Ring Injuries. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47212-5_10

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  • DOI: https://doi.org/10.1007/978-3-662-47212-5_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47211-8

  • Online ISBN: 978-3-662-47212-5

  • eBook Packages: MedicineMedicine (R0)

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