Management of injuries to the true pelvis. Are we up-to-date?

ABSTRACT

The pelvic fracture is common in the orthopedic practice. It could be associated with morbidity and mortality due to urologic and vascular complications, respectively. Here is a report of the incidence of the above mentioned complications of this fracture, showing our auxiliary diagnostic methods and the frequencies of the therapeutic approaches. The current literature developments were reviewed in order to know where we stand. To achieve our goals, the necessary data were collected retrospectively from files of 74 cases that were consecutively and randomly admitted to our hospital between Jan-2000 and May-2003. The diagnosis of, pelvic fracture and associated significant hemorrhage into the pelvic retroperitoneal space is totally clinical in our practice and its management is known to be a difficult task surgically. The current literature developments in the diagnosis and management of this problem has been discussed and, in this regard, we found that our approaches are not up-to-date. But, regarding the diagnosis and management of bladder and urethral injuries, we can say that we are up-to-date. A study of the outcome of these injuries has been recommended