Study of hemodynamic instability due to intrapelvic hemorrhage as a consequence of ilioischiopubian branch fractures in geriatric patients.

Autor: Molinero Montes M; Hospital Universitario Central de Asturias, Oviedo, Asturias, España. Electronic address: dobby_15@hotmail.com., Fernández Álvarez C; Hospital Universitario Central de Asturias, Oviedo, Asturias, España., Fernández-Valdés Fernández JM; Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2022 May-Jun; Vol. 66 (3), pp. 223-226. Date of Electronic Publication: 2021 Jun 18.
DOI: 10.1016/j.recot.2021.02.005
Abstrakt: Introduction: Pelvic branch fractures are a common feature in old people which are usually treated conservatively. Massive hemorrhage is a strange complication that can compromise the patient's life. The objective of this study is to determine the incidence and possible risk factors of massive arterial injury in fractures of pelvic branches due to low energy trauma in patients over 65 years old.
Clinical Case: Observational study of 142 patients diagnosed with pelvic branch fracture, We analyzed the age, sex, anatomical location, hemoglobin, need for hospital admission, complementary diagnostic test, complications and hospital stay.
Results: All those ilioisquiopubial fractures complicated with massive bleeding (4 patients) were located in the Nakatani area I in close relationship with the obturator artery, internal pudendal artery and the Corona Mortis. All patients needed supraselective embolization for hemorrhagic control. Three of the patients were taking anticoagulants.
Discussion: The 2,8% of patients with pelvic branch fractures may suffer a hemorrhagic complication. Be able to establish possible risk factors such a medication or anatomical location can help us identify these patients and carry out closer surveillance.
(Copyright © 2021 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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