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Prevention of pelvic sepsis in major open pelviperineal injury

Govaert , Geertje, Siriwardhane , Mehan, Hatzifotis , Michael, Malisano , Lawrance, & Schuetz, Michael (2012) Prevention of pelvic sepsis in major open pelviperineal injury. Injury, 43(4), pp. 533-536.

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Abstract

Compound pelvic fractures are deemed to be one of the most severe orthopaedic injuries with an extremely high morbidity and mortality. After the initial resuscitation phase the prevention of pelvic sepsis is one of the main treatment goals for patients with an open pelvic fracture. If there is a suspicion of a rectal injury or if the wounds are in the perineal area, The Princess Alexandra Hospital's management plan includes early faecal diversion combined with vigorous soft tissue debridement, VAC(®) therapy and (if indicated) external fixation of the pelvic fracture. We present our flowchart for the treatment of trauma patients with compound pelvic fractures illustrated by a case report describing a 32 year old patient who sustained an open pelvic ring injury in a workplace accident. The aim of this paper is to underline the importance of a safe, straightforward approach to compound pelvic fractures.

Impact and interest:

2 citations in Scopus
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1 citations in Web of Science®

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ID Code: 50507
Item Type: Journal Article
Keywords: Case Review, Trauma, Orthopaedic Surgery
DOI: 10.1016/j.injury.2011.12.002
ISSN: 0020-1383
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Current > Schools > School of Chemistry, Physics & Mechanical Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Deposited On: 23 May 2012 09:32
Last Modified: 23 May 2012 09:32

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