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The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy

dc.contributor.authorDurão, C
dc.contributor.authorAlves, M
dc.contributor.authorBarros, A
dc.contributor.authorPedrosa, F
dc.date.accessioned2017-09-20T21:19:09Z
dc.date.available2017-09-20T21:19:09Z
dc.date.issued2017-08
dc.description.abstractHip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Clin Orthop Trauma. 2017 Aug;8(Suppl 1):S17-S20.pt_PT
dc.identifier.doi10.1016/j.jcot.2017.05.011pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/18997
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectFixação de Fracturapt_PT
dc.subjectOssos Pélvicos/lesõespt_PT
dc.subjectImobilizaçãopt_PT
dc.subjectChoque Hemorrágicopt_PT
dc.titleThe importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPageS20pt_PT
oaire.citation.issueSuppl 1pt_PT
oaire.citation.startPageS17-S20pt_PT
oaire.citation.volume8pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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