. 2004; 10(2): 115-122 | |||
Acil pelvik eksternal stabilizasyon: Yüksek riskli pelvis kırıklarında ilk adımAhmet Harma1, Muharrem İnan1İnönü Üniversitesi Turgut Özal Tıp Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, MalatyaEmergency pelvic external stabilization as the first step treatment in high risk pelvic fracturesAhmet Harma1, Muharrem İnan1İnönü Üniversitesi Turgut Özal Tıp Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, MalatyaBACKGROUND: We 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 Ahmet Harma, Muharrem İnan. Emergency pelvic external stabilization as the first step treatment in high risk pelvic fractures. . 2004; 10(2): 115-122 |
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