Pelvic Fractures Flashcards
What are the different classification systems used for pelvic fractures and what are they based on?
- Bucholz (bone)
- Letournel & Judent (site)
- Young & Burgess (mechanism)
- Tile (instability)
- Muller (instability)
- AO
What are the characteristics of a type A pelvic fracture (AO classification)?
- Stable posterior
- Intact pelvic ring
- 3 types: avulsion, innominate, transverse sacral
What are the characteristics of a type B1 pelvic fracture (AO classification)?
- Open book
- Incomplete disruption of posterior arch
- Allows rotation of half of pelvis
- Open pubic symphysis
What are the characteristics of a type B2 pelvic fracture (AO classification)?
- Incomplete disruption of posterior arch
- Allows rotation of half of pelvis
- Symphysis & incomplete SI region fractures
What are the characteristics of a type C pelvic fracture (AO classification)?
- Complete disruption of posterior arch
- Allows rotation of half of pelvis
- Allows vertical displacement
- Cannot walk
What are some of the complications associated with pelvic fractures?
- Trauma emergency
- External/internal bleeding
- Airway resuscitation
What is an intervention for controlling internal bleeding?
Pelvic wrap/sheet to decrease pelvic volume
What can the post operative care following pelvic fracture surgery involve?
First 24-48 hours
- IV antibiotics
- Anticoagulation
- Wound drains
- Vacuum seal
- Continuous passive motion
- No casts, no traction
- X-rays or CT
What are the principles for post operative care following pelvic fracture surgery?
- Prevent complications
- Chest
- Circulation/DVT
- Infection
- Unaffected limbs
- Affected limbs - Commence in-bed exercises & mobilise as early as safely possible
- Get ready for discharge (build independence)
What are the precautions for post operative care following pelvic fracture surgery?
- Weight bearing status
- Ligament damage & fracture repair
- Blood pressure
- Haemoglobin
- Continence
