Treatment

Hemorrhage resulting from pelvic fractures needs to be addressed rapidly in order to facilitate stabilization of the patient. Emergent measures consist of MAST trousers, pelvic binders, or a tightly wrapped sheet around the pelvis during transportation. After full evaluation of the patient, options include: exploration with ligation, open reduction internal fixation of fragments, external fixation, and an-giography with embolization of bleeding vessels. Angiography is an excellent modality where resources of the institution allow. External fixation is a good option for anterior stability of the pelvic ring and can decrease further injury, cancellous bleeding, and facilitate mobilization of the patient postoperatively. Fixation of the posterior ring, such as percutaneous SI joint screws, is often required to augment anterior fixation.

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