ReviewFrontiers in surgery2020
Management of Hemodynamically Unstable Pelvic Ring Fractures.
Review in Frontiers in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 38 citations in OpenAlex.
- Article
- Staged management of a Tile C3 pelvic ring injury with bilateral sacroiliac disruption and T-shaped sacral fracture.Trauma case reports · 2026Article
- [Role of interventional radiology in mass casualty incidents : Current state of evidence exemplified by the attack on the Magdeburg Christmas market].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Emergency Hemorrhage Control Strategies and Outcomes in Hemodynamically Unstable Pelvic Fracture Trauma: A Systematic Review.Bulletin of emergency and trauma · 2026Review
- Dynamic ultrasound guided assessment of pelvic ring injury measurement (PRIME) for traumatic symphysis diastasis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Unstable pelvic fractures in patients with hemodynamic instability: global treatment controversies.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Comparative Efficacy of Retrograde Pubic Ramus Intramedullary Nails and Percutaneous Cannulated Screws in Treating Anterior Pelvic Ring Fractures: A Retrospective Cohort Study.Current medical science · 2025Article
- Impact of COVID-19 pandemic outbreak on pelvic trauma surgical management.Scientific reports · 2025Article
- Future directions in the treatment of pelvic fractures with abdominal organ injury: the potential of combined endovascular embolization and external fixation techniques.Frontiers in medicine · 2025Review
- Standard practice in the treatment of unstable pelvic ring injuries: an international survey.International orthopaedics · 2023Article
- A short decision time for transcatheter embolization can better associate mortality in patients with pelvic fracture: a retrospective study.Frontiers in medicine · 2023Article
- Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hemodynamically unstable pelvic fractures are challenging high-energy traumas. In many cases, these severely injured patients have additional traumatic injuries that also require a trauma surgeon's attention. However, these patients are often in extremis and require a multidisciplinary approach that needs to be set up in minutes. This calls for an evidence-based treatment algorithm. We think that the treatment of hemodynamically unstable pelvic fractures should primarily involve thorough resuscitation, mechanical stabilization, and preperitoneal pelvic packing. Angioembolization should be considered in patients that remain hemodynamically unstable. However, it should be used as an adjunct, rather than a primary means to achieve hemodynamic stability as most of the exsanguinating bleeding sources in pelvic trauma are of venous origin. Time is of the essence in these patients and should therefore be used appropriately. Hence, the hemodynamic status and physiology should be the driving force behind each decision-making step within the algorithm.
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