- See:
-
External Fixators for Pelvic Frx:
- Discussion:
- see:
vascular injuries in pelvic frx;
- theory is that the mobile, sharp edges of frx lead to dislodgment of clotted
blood and renewed bleeding;
- open book pelvic frx (
APC II and
APC III) are most amenable to
application of external fixation for reduction of blood loss;
-
lateral compression injuries or internal rotatory injuries are typically
associated with less bleeding.
- Timing for Application of Fixator:
- question is when to apply Ex Fix when exploratory laparotomy is planned for
intraperitoneal hemorrhage due to pelvic frx;
- Arguements Against Emergent Application of Ex Fix:
- there is scant definative evidence to confirm reduction of blood loss after
placement of Ex Fix;
- external fixation will not reduce bleeding from arterial disruption or from
coagulopathy;
----------------------------------
Acute mortality associated with injuries to the pelvic ring: the role of
early patient mobilization and external fixation.
