Almost two thirds of pelvic fractures are complicated by a wide variety of other fractures and injuries to soft tissues. Each patient must be carefully scrutinized to find all fractures and other injuries. It is useful to classify pelvic fractures into groups, since the most serious injuries are seen primarily with bilateral fractures of the pubic rami, central dislocation of the hip, and fractures of the hemipelvis. Hemorrhage, either intraperitoneal or retroperitoneal, is the most frequent cause of death associated with pelvic fractures. Intraperitoneal hemorrhage is best managed by direct surgical intervention at laparotomy. Intrapelvic retroperitoneal hemorrhage is best managed by rapid and continuing blood replacement and by immediate external stabilization of the pelvic fractures. Various other rare complications of pelvic fractures are discussed briefly.
Copyright 1965 by The Journal of Bone and Joint Surgery, Incorporated