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Fractures of the pelvis: principles of diagnosis and treatment (new concepts)

Year 1996, Volume: 30 Issue: 2, 199 - 205, 11.09.2006

Abstract

Pelvis fractures are generally caused by high-energy trauma. The early mortality rate approaches to 10% and neurologic deficit, pelvic deformity leg-length inequality, hernia and chronic pain are the possible significant late sequela which cause difficulty in daily life. Treatment should first begin with evaluation of stability and surgeon should decide if the fracture is stable or not. Conservative measures would be appropriate for stable or nondisplaced fractures. More than 2.5 cm separation of the symphysis that can not be reduced by closed manipulation and more than 1 cm displacement at the posterior sacroiliac complex require surgical treatment, that is, open reduction. External fixation alone is not adequate for maintaining instability and therefore should be combined with internal fixation. Anterior and posterior internal fixation of symphysis and sacroiliac joint respectively provides biomechanically the most stable fixation. External fixation in the initial phases of treatment provides stability and enhances tamponade so that hemorrhage minimized and the patient becomes more hemodynamically stable. Furthermore it may be adequate for maintaining reduction of partially unstable (Type B) fractures.

Pelvis kırıkları

Year 1996, Volume: 30 Issue: 2, 199 - 205, 11.09.2006

Abstract

Pelvis kırıkları çok yüksek enerjili travmalar sonucu meydana gelir. Erken dönemde %10 morfalite oranına sahip olan pelvis kırıklarının geç dönemde de nörolojik defisit, pelvik deformite, kısalık, herni ve kronik ağrı gi-bi önemli ve günlük hayatı zorlaştırıcı problemleri bulunmaktadır. Tedavide önce stabilite değerlendirmesi ya-pılmalı ve kırığın stabil veya instabil olduğuna karar verilmelidir. Stabil veya minimal deplase kırıklar konservatif olarak tedavi edilirler. Simfisis pubiste kapalı olarak redükte edilemeyen 2.5 cm'nin üzerindeki deplasmanlar ve posterior sakroiliak kompleksleri 1 cm'nin üzerindeki deplasmanlar cerrahi (açık redaksiyon) olarak tedavi edilmelidir. İnstabil kırıklarda eksternal fiksasyon tek başına stabilizasyonu sağlayamaz. İnternal fiksasyonla kombine edilmelidir, instabil kırıklarda biyomekanik olarak en stabil fiksasyonu, anteriorda simfizisin + posteriorda sakroiliak eklemin internal fiksasyonu sağlar. Eksternal fiksasyon akut dönemde politravmatize hastada tamponad efekliyle kan kaybını azaltarak hastanın sistemik stabilizasyonuna yardımcı olur. Ayrıca parsiyel instabil (Tip B) kırıklarda da redaksiyonun devamı için uygun bir tespit yöntemidir.

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Details

Primary Language English
Journal Section Review
Authors

Mehmet Asik This is me

Sirri Basturk This is me

Onder Yazicioglu This is me

Fahri Seyhan This is me

Publication Date September 11, 2006
Published in Issue Year 1996 Volume: 30 Issue: 2

Cite

APA Asik, M., Basturk, S., Yazicioglu, O., Seyhan, F. (2006). Fractures of the pelvis: principles of diagnosis and treatment (new concepts). Acta Orthopaedica Et Traumatologica Turcica, 30(2), 199-205. https://doi.org/10.3944/aott.v30i2.1953
AMA Asik M, Basturk S, Yazicioglu O, Seyhan F. Fractures of the pelvis: principles of diagnosis and treatment (new concepts). Acta Orthopaedica et Traumatologica Turcica. September 2006;30(2):199-205. doi:10.3944/aott.v30i2.1953
Chicago Asik, Mehmet, Sirri Basturk, Onder Yazicioglu, and Fahri Seyhan. “Fractures of the Pelvis: Principles of Diagnosis and Treatment (new Concepts)”. Acta Orthopaedica Et Traumatologica Turcica 30, no. 2 (September 2006): 199-205. https://doi.org/10.3944/aott.v30i2.1953.
EndNote Asik M, Basturk S, Yazicioglu O, Seyhan F (September 1, 2006) Fractures of the pelvis: principles of diagnosis and treatment (new concepts). Acta Orthopaedica et Traumatologica Turcica 30 2 199–205.
IEEE M. Asik, S. Basturk, O. Yazicioglu, and F. Seyhan, “Fractures of the pelvis: principles of diagnosis and treatment (new concepts)”, Acta Orthopaedica et Traumatologica Turcica, vol. 30, no. 2, pp. 199–205, 2006, doi: 10.3944/aott.v30i2.1953.
ISNAD Asik, Mehmet et al. “Fractures of the Pelvis: Principles of Diagnosis and Treatment (new Concepts)”. Acta Orthopaedica et Traumatologica Turcica 30/2 (September 2006), 199-205. https://doi.org/10.3944/aott.v30i2.1953.
JAMA Asik M, Basturk S, Yazicioglu O, Seyhan F. Fractures of the pelvis: principles of diagnosis and treatment (new concepts). Acta Orthopaedica et Traumatologica Turcica. 2006;30:199–205.
MLA Asik, Mehmet et al. “Fractures of the Pelvis: Principles of Diagnosis and Treatment (new Concepts)”. Acta Orthopaedica Et Traumatologica Turcica, vol. 30, no. 2, 2006, pp. 199-05, doi:10.3944/aott.v30i2.1953.
Vancouver Asik M, Basturk S, Yazicioglu O, Seyhan F. Fractures of the pelvis: principles of diagnosis and treatment (new concepts). Acta Orthopaedica et Traumatologica Turcica. 2006;30(2):199-205.