Acta Chir Orthop Traumatol Cech. 2017; 84(4):304-308 | DOI: 10.55095/achot2017/047

Damage Control Surgery in Polytrauma Patients with Pelvic Fractures.
Is It Possible to Use Internal Fixation?Case report

L. HAVLŮJ1,*, V. D®UPA2, R. GÜRLICH1
1 Chirurgická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady v Praze
2 Ortopedicko-traumatologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady v Praze

Current polytrauma management is multidisciplinary, with Damage Control Surgery (DCS), Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR) being applied in the first few hours after injury. The most severe group of polytrauma patients are those with circulatory instability and massive blood loss as a consequence of unstable pelvic fractures. In treating these patients, of crucial importance is the speed and quality of stabilisation of pelvic fracture fragments. The authors present two case reports of polytrauma patients with unstable pelvic fractures, in whom open reduction and internal fixation was performed on the anterior fracture segment through extended laparotomy in order to stop bleeding into the abdominopelvic cavity as part of the DCS approach.

Keywords: exsanguination, polytrauma, unstable pelvic fracture, plate fixation

Published: August 1, 2017  Show citation

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HAVLŮJ L, D®UPA V, GÜRLICH R. Damage Control Surgery in Polytrauma Patients with Pelvic Fractures.
Is It Possible to Use Internal Fixation? Acta Chir Orthop Traumatol Cech. 2017;84(4):304-308. doi: 10.55095/achot2017/047. PubMed PMID: 28933334.
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