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Articles

Combined Vascular & Skeletal Trauma

, Stanford University, October 07, 2005

Eric Frykberg discusses the management of these complex injuries.

The Ideal Pelvic Binder

What's important in a pelvic binder?

Karim Brohi, London, UK, April 17, 2008

Pelvic binders have replaced external fixation for the immediate stablization of pelvic ring fractures.  This article describes the features to look for, and avoid, in choosing a pelvic binder.

Management of Exsanguinating Pelvis Injuries

An algorithm for the management of exsanguinating pelvic trauma

Karim Brohi, London, UK, May 20, 2008

Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality.  A directed approach to management can significantly improve survival in this critical patient group.

Case Presentations

Anal Necrosis Following Pelvic Crush Injury

John S.Berry MD, Alfred F. Trappey MD, Joseph L. Petfield MD, Julia M. Greene MD, Katherine Markell MD

Julia Greene, November 28, 2012

Arterial haemorrhage within the pelvic circulation can be controlled by nonselective embolization. However, complications are associated with distal ischemia from disruption of the aortoiliac circulation. Reported complications of pelvic crush injury include impotence, lower extremity nerve deficits, left colon ischemia, spinal cord injury, and necrosis of the rectum and gluteal musculature. We report a case of anal canal necrosis after a pelvic crush injury attributed to hypotension, compression by pelvic hematoma, and arterial disruption after selective unilateral transcatheter arterial embolization (TAE).

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