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Surgery pp 505-520 | Cite as

Trauma to the Pelvis and Extremities

  • Dean G. Lorich
  • Michael J. Gardner
  • David L. Helfet

Abstract

Pelvic fractures account for 3% to 8% of all skeletal injuries.1, 2, 3 Two distinct patient populations sustain pelvic fractures: those involved in high-energy trauma, frequently motor vehicle or pedestrian versus motor vehicle collisions, and those who sustain a low-energy event, commonly an elderly patient with osteoporosis who sustains a fall resulting in a pelvic fracture with a stable pelvic ring and minimal concomitant injuries. High-energy mechanisms are involved in 13 % to 18 % of all pelvic fractures1,4 and are often accompanied by bony pelvic instability and severe soft tissue injuries, both locally and in remote systems. Injuries to the genitourinary and gastrointestinal system as a direct result of a pelvic fracture are frequent.5, 6, 7 Despite advances in organized trauma systems and intensive care, these fractures continue to present treatment dilemmas acutely and are a major source of morbidity and of mortality, which ranges from 7% to 50%.4,5,8, 9, 10, 11, 12, 13 Appropriate assessment and management by a multidisciplinary team are crucial to maximize the chance of survival of these patients and their return to preinjury function.

Keywords

Femoral Fracture Injury Severity Score External Fixation Intramedullary Nailing Pelvic Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Dean G. Lorich
    • 1
    • 2
  • Michael J. Gardner
    • 3
  • David L. Helfet
    • 1
    • 2
  1. 1.Department of Orthopedic Surgery, Weill Cornell Medical CenterHospital for Special Surgery/New York-Presbyterian HospitalNew YorkUSA
  2. 2.Orthopaedic Trauma ServiceHospital for Special Surgery/New York-Presbyterian HospitalNew YorkUSA
  3. 3.Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA

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