Lupescu Olivera 1, 2, Nagea M. 2, Dimitriu A.L. 1, 2, Ciurea N. 2, Grosu Alina 2, Lupescu Doriana 3 *, Corneci D. 4
1 University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania
2 Orthopedics and Trauma Clinic, Clinical Emergency Hospital Bucharest, Romania
3 Anaesthesia and Intensive Care Unit, “Maria Burghele” Hospital, Buftea, Romania
4 Anaesthesia and Intensive Care Unit, Elias Hospital, Bucharest, Romania
Abstract
Due to the complexity of the pelvic fractures, several methods and implants have been used for stabilising these injuries. In polytrauma patients, where the hemodynamic stability is severely threatened, achieving pelvic stability is a method of resuscitation and it must be performed urgently, with the less invasive procedure. The main goal is saving the patient’s life and the general rule of adapting the treatment to the patient status is particularly important in unstable patients, where the principles of Damage Control (DC) must be applied. This retrospective study evaluates polytrauma patients with pelvic fractures treated in a Level 1 Trauma Centre in order to verify the efficacy of the chosen methods of treatment. The hemodynamical stability of the patients as well as the mechanical stability of the fracture was assessed thus resulting adapted algorithms to be applied. The authors underline that the flexible multidisciplinary evaluation, treatment and monitoring are mandatory for these severely injured patients with a high risk of general complications. Pelvic fractures stabilisation in polytrauma aims both mechanical and haemodinamical stability, thus requiring personalised decisions and implants, as well as a multidisciplinary team to assess and treat the patient.