Evidence map›Paper›PMID 40726929›Full record

ArticleWorld journal of clinical cases2025

Life-threatening vascular injury in an elderly patient with isolated pubic ramus fracture: A case report.

Evangelos Sakellariou, Evangelia Argyropoulou, Athanasios Galanis, Meletis Rozis, Dimitrios Zachariou, Iordanis Varsamos, Nicolaos Parchas, Dimitrios Kalavrytinos, Panagiotis Karampinas, Elias S Vasiliadis and 2 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Evangelos Sakellariou3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Evangelia ArgyropoulouDepartment of Orthopaedics and Traumatology, University General Hospital of Patras, Patras 26504, Greece. eva.argirop@gmail.com.
Athanasios Galanis3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Meletis Rozis3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Dimitrios Zachariou3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Iordanis Varsamos3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Nicolaos ParchasDepartment of Orthopaedics and Traumatology, University General Hospital of Patras, Patras 26504, Greece.
Dimitrios KalavrytinosDepartment of Orthopaedic Surgery, 251 Air Force General Hospital, Athens 11525, Greece.
Panagiotis Karampinas3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Elias S Vasiliadis3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
John Vlamis3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.
Spiros Pneumaticos3 Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPubic ramus fractures are generally considered fragility fractures in the elderly population, commonly deriving from a low-impact fall. Treatment is ordinarily conservative and hemodynamic complications are exceedingly infrequent. Notwithstanding, patients with copious comorbidities should be carefully monitored for potential vascular injury. CASE SUMMARY: This case report presents the management of a 75-year-old male patient with a history of diabetes mellitus and arterial hypertension who was admitted to the emergency room with a superior pubic ramus fracture. The patient experienced a significant drop in hematocrit and hemoglobin levels post-admission, necessitating urgent intervention. A computed tomography angiography revealed active bleeding, leading to the embolization of the medial femoral branch. The patient was stabilized hemodynamically and was discharged after 15 days, with recommendations for home-based follow-up care.

conclusionThis report denotes the various challenges and strategies in managing simple fractures that are treated conservatively, but need prompt monitoring for occult vascular injuries that can be fatal.

Indexed as

Case reportComplicationsElderlyEmbolizationFracturePelvisPubic ramus fractureVascular injury

Identifiers

PMID40726929
PMCPMC12068176

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