Abstract:
Background. Pelvic ring injuries are complex, 3-8% of skeletal injuries, caused from severe traumas by high-energy collisions cam be associated with multisystem damage and high
morbidity and mortality due to significant bleeding. Effective
management is crucial for patient survival and recovery. Objectives of the study: To assess the current approaches for
the treatment of pelvic ring injuries, contrasting the results
of conservative and surgical methods. Material and methods: This study represents a retrospective analysis of clinical
and radiological data for 24 patients with pelvic ring injuries
treated in the department of traumatology nr.2, Institute of
Emergency Medicine during the years 2022-2023. The cohort
comprising 14 females (58%) and 10 males (42%). Patients
were aged from 19 to 93 years, mean age was 54 years. Of
these cases, 15 (63%) involved pubic bone fractures, 7 (29%)
had multiple injuries of the pelvic ring, and 2 (8%) had iliac
bone fractures. Isolated pelvic fractures were diagnosed in
19 cases, associated trauma was in 6 cases. All patients have
been examined by a complex multidisciplinary team. Prompt
provisional stabilization and immobilization of the pelvic
ring were crucial during initial resuscitation. Results. In this study of 24 patients with pelvic ring injuries, pelvic binder
application and hemodynamic stabilization were implemented if necessary. Conservative management was performed in
22 patients with stable fractures, enabling gradual recovery
without surgery. Closed reduction with external fixation was
done in 2 cases, enhancing functional outcomes. Conclusions. Pelvic ring injuries with early and appropriate stabilization should be done individually according to the fracture
type and stability of the pelvic ring. Conservative therapy of
stable pelvic injuries improves outcomes by promoting rapid
mobilization and reducing complications. Keywords: Pelvic
injury, stabilization, conservative treatment, closed reduction.
Description:
Studiu realizat cu suportul proiectului 160101 „Managementul
politraumatismului: acordarea asistenței medicale specializate
pacienților cu leziuni multiple și asociate ale aparatului locomotor în
urma accidentelor rutiere în Republica Moldova” din cadrul Programului
instituțional de cercetare (2024-2027), coordonator de proiect:
KUSTUROVA Anna, dr. șt. med., conf. univ., autoritatea contractantă:
Ministerul Sănătății.
