Pelvic Trauma and Its Importance in the Treatment of Patients With Multiple Injuries

Volume 1 - Issue 2

Francisco Eduardo Silva*

Received: December 19, 2017;   Published: January 18, 2018

DOI: 10.32474/IGWHC.2018.01.000108

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Abstract

The importance of identifying and treating pelvic trauma is due to the fact that it presents about 3% of all skeletal injuries with an overall mortality ranging from 5 to 16% of patients with multiples injuries. The mortality rate of patients with hemodynamic instability due to severe fracture of pelvic bones may reach up to 40-60%, despite an effective multidisciplinary treatment approach. The unstable fracture of the pelvic ring is predominantly caused by closed trauma with high kinetic energy and is associated with a high risk of mortality. Many cases of closed pelvic trauma with high kinetic energy may present a high risk of associated lesions that influence the final outcome in mortality causing impact on the survival rates of these patients [1,2]. Some risk factors are associated with the severity of pelvic trauma such as osteoporosis, smoking, previous hysterectomy, patients over 60 years old, and patients tending to fall from one’s height. Lesions associated with bleeding are almost always venous in origin and will require blood transfusion.

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