Open Pelvic Ring Fracture and Multiple Fractures of the Lower Extremities : A Case Report
-
- Takeuchi Naohide
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Masumoto Kazuyuki
- Department of Plastic and Reconstructive Surgery, Saga-ken Medical Centre Koseikan
-
- Nojiri Junichi
- Department of Radiology, Saga-ken Medical Centre Koseikan
-
- Akiho Shunsuke
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Hotokezaka Shunsuke
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Sasaki Kosuke
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Kawaguchi Kenichi
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Tsukamoto Nobuaki
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Momii Kenta
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
-
- Fujita Naohiro
- Critical Care Center, Saga-ken Medical Centre Koseikan
-
- Mae Takao
- Department of Trauma and Orthopaedic Surgery, Saga-ken Medical Centre Koseikan
Bibliographic Information
- Other Title
-
- 骨盤輪開放骨折を伴った多発骨折の一例
Search this article
Abstract
A 73-year-old female was hit by a car, and transferred to our hospital. On examination, her consciousness was alert, but her vital signs were unstable. There are three 10-cm open wounds on her right buttock. X-rays showed an unstable pelvic ring fracture, a right femoral shaft, a right proximal tibia and a right tibial plafond fractures. One hour after the injury, transarterial embolization (TAE) followed by external fixation (EF), and retroperitoneal pelvic packing (RPP) was performed. Two days and five days after the injury, thorough debridement of the open wounds was performed. The skin defect on the right buttock and the lower abdomen had enlarged to 40 x 35 cm, therefore, negative pressure wound therapy was applied. On the same day, right femur was fixed using a retrograde intramedullary nailing. 12 days after the injury, the proximal tibial fracture was fixed using a plate, and the tibial plafond fracture was fixed using screws and external fixators. 28 days after the injury, the split-thickness skin graft was performed on the right buttock and the lower abdomen. Seven months after the injury, the open wounds were completely healed without infection. She was able to walk smoothly with a T-cane. For the management of open pelvic ring fractures, it is essential to perform TAE, EF and RPP as soon as possible. Providing aggressive management, including thorough debridement, is mandatory to prevent severe infection and sepsis. We achieved a good clinical outcome by using a combination of TAE, EF, RPP and staged surgery, including thorough debridement.
Journal
-
- 福岡醫學雜誌
-
福岡醫學雜誌 105 (1), 22-27, 2014-01-25
Fukuoka Medical Association
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390290699741043968
-
- NII Article ID
- 120005425188
-
- NII Book ID
- AN00215478
-
- DOI
- 10.15017/1441361
-
- HANDLE
- 2324/1441361
-
- NDL BIB ID
- 025561546
-
- ISSN
- 0016254X
-
- PubMed
- 24800530
-
- Text Lang
- en
-
- Data Source
-
- JaLC
- IRDB
- NDL
- PubMed
- CiNii Articles
-
- Abstract License Flag
- Allowed