Management of Pelvic Ring Injuries

  • David J. HakEmail author
  • Cyril Mauffrey


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.


Pelvic fracture Hemorrhagic shock Resuscitation 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryDenver Health/University of ColoradoDenverUSA

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