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Trauma to the Pelvis and Extremities

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Surgery

Abstract

Pelvic fractures account for 3% to 8% of all skeletal injuries.1–3 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.5–7 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%.4,5,8–13 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.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Weill Cornell Medical Center, Hospital for Special Surgery/New York-Presbyterian Hospital, New York, NY, USA

    Dean G. Lorich MD (Assistant Professor and Associate Director) & David L. Helfet MD (Professor and Director)

  2. Orthopaedic Trauma Service, Hospital for Special Surgery/New York-Presbyterian Hospital, New York, NY, USA

    Dean G. Lorich MD (Assistant Professor and Associate Director) & David L. Helfet MD (Professor and Director)

  3. Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Michael J. Gardner MD (Senior Clinical Associate)

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  1. Dean G. Lorich MD
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  2. Michael J. Gardner MD
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  3. David L. Helfet MD
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Editors and Affiliations

  1. Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  2. Divisions of Surgical Oncology and General Surgery, Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  3. Departments of Surgery and Public Health, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  4. Division of Critical Care and Trauma, NewYork-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  5. Departments of Surgery and Immunology, Duke University Medical Center, Durham, NC, USA

    R. Randal Bollinger MD, PhD, FACS (Professor) (Professor)

  6. Division of Surgical Oncology, Department of Surgery, University of Michigan, Comprehensive Cancer Center, Ann Arbor, MI, USA

    Alfred E. Chang MD, FACS (Chief, Hugh Cabot Professor of Surgery) (Chief, Hugh Cabot Professor of Surgery)

  7. Department of Surgery, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  8. Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  9. Department of Surgery, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  10. Huntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  11. Departments of Cardiothoracic Surgery and Surgery, New York University Medical Center, New York, NY, USA

    Harvey I. Pass MD, FACS (Professor) (Professor)

  12. Radiology, and Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

  13. Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

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Lorich, D.G., Gardner, M.J., Helfet, D.L. (2008). Trauma to the Pelvis and Extremities. In: Norton, J.A., et al. Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68113-9_28

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