History of pelvic fracture management: a review.

World J Emerg Surg

Department of Orthopaedics, Univesity of Colorado, School of Medicine, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204 USA.

Published: May 2016

AI Article Synopsis

  • High-energy pelvic fractures can be life-threatening due to the risk of severe internal bleeding.
  • The historical understanding of these injuries dates back to 1851, with major advancements in the 20th century leading to better treatment strategies.
  • This review aims to summarize the evolution of knowledge and management approaches for severe pelvic ring injuries, excluding acetabular fractures.

Article Abstract

High-energy pelvic fractures represent potentially life-threatening injuries due to the risk of acute exsanguinating retroperitoneal hemorrhage. The first report of a severe pelvic ring disruption dates back to Charles Hewitt Moore's seminal publication from 1851. Significant advantages in the understanding of injury mechanisms and treatment concepts of pelvic ring injuries evolved in the 20(th) century, and provided the basis to current classification-guided treatment and life-saving "damage control" concepts. However, there is a paucity of reports in the current literature focused on the historic background on the treatment of pelvic ring injuries. The present review was designed to summarize the history and evolution of our current understanding of the mechanisms and management strategies for severe pelvic ring injuries (excluding acetabular fractures which represent a different entity outside of the scope of this article).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855448PMC
http://dx.doi.org/10.1186/s13017-016-0075-4DOI Listing

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