Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures

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dc.authorid52908en_US
dc.authorid143435en_US
dc.contributor.authorHarma, Ahmet
dc.contributor.authorİnan, Muharrem
dc.date.accessioned2017-06-04T07:19:11Z
dc.date.available2017-06-04T07:19:11Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.descriptionUlus Travma Derg 2004;10(2):115-122en_US
dc.description.abstracten_US
dc.description.abstractWe evaluated the clinical effectiveness of emergency pelvic external stabilization (EPES) as a first step of resuscitation and pelvic stabilization in trauma patients with hemodynamic and/or fracture instabilities. METHODS Twenty-three patients (12 males, 11 females; mean age 32 years; range 9 to 67 years) with high risk pelvic fractures underwent EPES. The presence of a systolic blood pressure equal to or below 90 mmHg, vertical and/or rotational instabilities, or fractures at risk were defined as high risk fractures. Pelvic fractures were assessed according to the Tile’s classification. RESULTS Hemodynamic instability was detected in 10 patients. The mean durations to the elective pelvic stabilization were three days (range 2 to 8 days) and 17.7 days (range 7 to 28 days) in patients with or without hemodynamic instability, respectively. The mean duration for EPES application was below 30 minutes (range 20 to 40 minutes). No deaths occurred due to blood loss caused by pelvic fractures. One patient died due to sepsis 14 days after hemodynamic stabilization. Superficial pin-track infections of grade 1 were detected in five patients, four of whom were treated with local dressings. In one patient, two pins had to be replaced because of loosening. CONCLUSION Emergency pelvic external stabilization for resuscitation and high risk fracturesis an effective intervention in the acute phase of polytraumatized patients presenting with high risk pelvic fractures.en_US
dc.identifier.citationHarma, A., İnan, M. (2004). Emergency Pelvic External Stabilization As The First Step Treatment İn High Risk Pelvic Fractures. Ulus Travma Acil Cerrahi Derg, 10(2), 115–122.en_US
dc.identifier.endpage122en_US
dc.identifier.issue2en_US
dc.identifier.startpage115en_US
dc.identifier.urihttps://www.journalagent.com/travma/pdfs/UTD_10_2_115_122.pdf
dc.identifier.urihttps://hdl.handle.net/11616/7040
dc.identifier.volume10en_US
dc.language.isotren_US
dc.publisherUlus Travma Acil Cerrahi Dergen_US
dc.relation.ispartofUlus Travma Acil Cerrahi Dergen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcil tıbbi hizmetleren_US
dc.subjectEksternal fiksatören_US
dc.subjectKırıken_US
dc.subjectKanamaen_US
dc.subjectMultipl travmaen_US
dc.subjectPelvik kemiklerien_US
dc.subjectEmergency medical servicesen_US
dc.subjectExternal fixatorsen_US
dc.subjectFracturesen_US
dc.subjectHemorrhageen_US
dc.subjectMultiple traumaen_US
dc.titleEmergency pelvic external stabilization as the first step treatment in high risk pelvic fracturesen_US
dc.typeArticleen_US

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