Abstract
Fracture of the pelvis ring is a rare lesion. Initial management in emergency is aimed at saving life and treating life-threatening injuries in order of priority according to the ATLS rules. Classification of the pelvic fractures is relevant for the management of the bony lesions both in emergency and as definitive treatment.
Surgical treatment in the multiply injured patient in critical condition is performed with external fixation. Two main techniques are available in emergency to externally fix the unstable pelvic ring: external fixator in type B fractures and C-clamp in type C ones.
Definitive treatment is performed in type B fractures with an anterior fixation, while in type C fractures with an anterior and/or posterior internal fixation, it depends on anatomical lesions. The benefits of surgical treatment are represented by the anatomical reduction and stable fixation of the fracture that allows early mobilization, shorter hospitalization, and improved outcomes. Anatomical reduction and internal fixation of the disruption of the pelvis is the gold standard in the treatment of these lesions.
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Pascarella, R., Rizzi, L., Castelli, C., Politano, R. (2014). Surgical Treatment of Pelvic Fractures. In: Di Saverio, S., Tugnoli, G., Catena, F., Ansaloni, L., Naidoo, N. (eds) Trauma Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5403-5_5
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DOI: https://doi.org/10.1007/978-88-470-5403-5_5
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