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Title of Journal: Eur J Trauma Emerg Surg

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Abbravation: European Journal of Trauma and Emergency Surgery

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Springer-Verlag

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DOI

10.1007/978-1-4419-1698-3_731

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1863-9941

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Severe pelvic fracturerelated bleeding in pediatr

Authors: H Tuovinen T Söderlund J Lindahl T Laine P Åström L Handolin
Publish Date: 2011/08/09
Volume: 38, Issue: 2, Pages: 163-169
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Abstract

Pediatric pelvic fractures are rare and less likely to cause hemodynamic instability than similar injuries in adult patients The associated injuries are common and they have a major impact on mortality The aim of the present study was to evaluate the risk of lifethreatening hemorrhage associated with unstable pelvic fractures in childrenWe identified retrospectively all pediatric pelvic fractures ring and acetabulum treated at Helsinki University Central Hospital during a 10year period 1998–2007 Stable Atype fractures fractures not involving the pelvic ring were excluded All available pre and inhospital medical records were reviewed The collected data consisted of patient characteristics mechanisms of injury vital signs laboratory tests care given other injuries diagnosed and the 30day survival rateThere were 71 40 males pediatric patients median age 14 range 1–16 years with unstable pelvic fractures 66 pelvic ring and 5 acetabulum fractures The most common mechanism of injury was traffic accident 69 Four patients had lifethreatening bleeding All had fracture of a mature pelvic ring but the source of massive bleeding was pelvic ring fracture in only two patients 28 of all patients No acetabulum fracturerelated major pelvic bleeding was observed One patient age 16 years required emergency surgery and angioembolization for pelvic bleeding No lifethreatening pelvic bleeding was seen among patients with immature bony pelvis Pelvic ring fractures were surgically treated in 25 patients Two patients died from head injuries overall mortality 28 but there were no bleedingrelated deaths


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Other Papers In This Journal:

  1. History, development and future of trauma care for multiple injured patients in the Netherlands
  2. Severe pelvic fracture-related bleeding in pediatric patients: does it occur?
  3. Operative management versus non-operative management of rib fractures in flail chest injuries: a systematic review
  4. Indications and anatomic landmarks for the application of lower extremity traction: a review
  5. The Aachen Mobility and Balance Index to measure physiological falls risk: a comparison with the Tinetti POMA Scale
  6. Paediatric trauma resuscitation: an update
  7. Optimizing Outcomes in the Jehovah’s Witness Following Trauma: Special Management Concerns for a Unique Population
  8. When Should Open Reduction and Internal Fixation Ankle Fractures Begin Weight Bearing? A Systematic Review
  9. The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training
  10. Popliteal vessel injuries: complex anatomy, difficult problems and surgical challenges
  11. Iatrogenic Sciatic Nerve Palsy Following Hemiarthroplasty of the Hip
  12. Anatomy-based surgical strategy of gastrointestinal fistula treatment
  13. Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties
  14. Late Reconstruction of a Traumatic Trapeziometacarpal Dislocation with a Semi-constrained Prosthesis: A Case Report
  15. Treatment of ankle osteoarthritis: arthrodesis versus total ankle replacement
  16. Osteitis and Septic Arthritis after Tibial Head Fracture: Results of a Radical Treatment Regime
  17. Extramedullary fixation of trochanteric hip fracture
  18. The use of Hypertonic Saline in the Treatment of Post-Traumatic Cerebral Edema: A Review
  19. Focus on challenges and advances in the treatment of patients with penetrating injuries
  20. Surface proteins and osteoblast markers: characterization of human adipose tissue-derived osteogenic cells
  21. Traumatic Cervical Vertebral Artery Transection Associated with a Dural Tear Leading to Subarachnoid Extravasation
  22. Rupture of Flexor Pollicis Longus Tendon: A Complication of Volar Locking Plating of the Distal Radius

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