Journal Article

Pelvic trauma: WSES classification and guidelines

Kluger, Yoram, Pereira, Bruno, Montori, Giulia, Weber, Dieter, Rizoli, Sandro, Magnone, Stefano, Biffl, Walter, Stahel, Philip F., Naidoo, Noel, Ivatury, Rao, Balogh, Zsolt, Abu-Zidan, Fikri, Catena, Fausto, Ceresoli, Marco, Peitzman, Andrew B., Coimbra, Raul, Sartelli, Massimo, Velmahos, George, Allievi, Niccolò, Arvieux, Catherine, Moore, Ernest E., Ansaloni, Luca, Fraga, Gustavo Pereira, Horer, Tal M, Solaini, Leonardo, Coccolini, Federico, Chiara, Osvaldo, Manfredi, Roberto, Leppaniemi, Ari, Kirkpatrick, Andrew

2017

Overview

Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V
• Subject: ABO / Analysis / Angiography / Emergency Medicine / External fixation / Fracture / Guidelines / Injury / Internal fixation / Internal fixation in fractures / Management / Mechanic / Medicine / Medicine & Public Health / Pelvic / Pelvic ring fractures / Pelvis / Practice guidelines (Medicine) / Preperitoneal pelvic packing / REBOA / Review / Trauma / Traumatic Surgery / X-ray / X-rays