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Pelvic fracture: Difference between revisions
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Low-energy fractures (elderly) are usually isolated and do not damage the integrity of the pelvic ring. High-energy fractures (young) usually damage the integrity of the pelvic ring, has more than one fracture, and has associated visceral and neurovascular injuries. | Low-energy fractures (elderly) are usually isolated and do not damage the integrity of the pelvic ring. High-energy fractures (young) usually damage the integrity of the pelvic ring, has more than one fracture, and has associated visceral and neurovascular injuries. | ||
These fractures are uncommon, with an incidence of 3 – 4 / 100 000 per year. Males are more often affected. The mortality is quite high in open pelvic fractures and is significant in closed fractures as well due to the possibility of injury of major vessels. Haemorrhage is the leading cause of death due to the proximity of major vessels to the pelvic ring. There is a high prevalence of poor functional outcome and chronic pain. CT is often necessary. They’re classified according to the Tile classification according to the stability of the posterior column. Tile A fractures are treated conservatively while B and C (unstable) are treated surgically.<section end="traumatology" /> | These fractures are uncommon, with an incidence of 3 – 4 / 100 000 per year. Males are more often affected. The mortality is quite high in open pelvic fractures and is significant in closed fractures as well due to the possibility of injury of major vessels. Haemorrhage is the leading cause of death due to the proximity of major vessels to the pelvic ring. There is a high prevalence of poor functional outcome and chronic pain. CT is often necessary. They’re classified according to the Tile classification according to the stability of the posterior column. Tile A fractures are treated conservatively while B and C (unstable) are treated surgically. | ||
<section end="traumatology" /> | |||
''See also [[acetabular fracture]].'' | ''See also [[acetabular fracture]].'' | ||
<section begin="traumatology" /> | <section begin="traumatology" /> | ||