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Injury. 2014 Nov;45 Suppl 5:S46-51. doi: 10.1016/S0020-1383(14)70021-X.

Treatment of pelvic fractures - a national survey.

Author information

1
Department of Orthopaedics and Traumatology, Federal University of São Paulo (Universidade Federal de São Paulo-UNIFESP), São Paulo, Brazil. Electronic address: danbal61@hotmail.com.
2
Department of Orthopaedics and Traumatology, Federal University of São Paulo (Universidade Federal de São Paulo-UNIFESP), São Paulo, Brazil.

Abstract

INTRODUCTION:

This survey was conducted during the 38(th) Brazilian Congress of Orthopaedics and Traumatology to identify the opinion of Brazilian orthopaedic surgeons on the standard treatment of pelvic fractures.

MATERIALS AND METHODS:

Participants were randomly selected and invited to voluntarily answer a questionnaire of 10 multiple choice questions addressing the main aspects of the treatment of pelvic fractures: classification, fixation methods in unstable patients, optimal surgical timing in stable patients, and fixation methods in different types of anterior and posterior pelvic injuries.

RESULTS/CONCLUSION:

Three hundred and fifty-two questionnaires were completed, and the following main observations were made: most orthopaedists prefer to use an external fixator in the iliac crest for the emergency stabilisation of pelvic injuries in haemodynamically unstable patients (79.5%); they consider a period of up to one week as optimal for fixation in stable patients (55.1%); they use a plate for the fixation of fractures of the iliopubic rami through a Pfannenstiel or ilio-inguinal approach (53.9%); and they use reconstruction plates for the fixation of fractures of the iliac wing (63.1%). Regarding other studied aspects, there was no predominance of more than 50% of the choices among respondents.

KEYWORDS:

Fracture Fixation; Fractures; Pelvis; Questionnaires

PMID:
25528625
DOI:
10.1016/S0020-1383(14)70021-X
[Indexed for MEDLINE]

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