Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma
Pelvic trauma caused by high-energy forces are accounting for 3 % to 8 % of all traumatic fractures. These are often accompanied by other life-threatening injuries that is a serious tactic problem. There are many publications on the advantages and disadvantages of multi-stage treatment with the Dama...
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| Format: | Article |
| Language: | Russian |
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Academician I.P. Pavlov First St. Petersburg State Medical University
2023-05-01
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| Series: | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
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| Online Access: | https://www.sci-notes.ru/jour/article/view/929 |
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| author | V. V. Gvenetadze A. K. Dulaev A. N. Tsed |
| author_facet | V. V. Gvenetadze A. K. Dulaev A. N. Tsed |
| author_sort | V. V. Gvenetadze |
| collection | DOAJ |
| description | Pelvic trauma caused by high-energy forces are accounting for 3 % to 8 % of all traumatic fractures. These are often accompanied by other life-threatening injuries that is a serious tactic problem. There are many publications on the advantages and disadvantages of multi-stage treatment with the Damage Control Orthopedics protocol and Early Total Surgical Care. However, the most difficult category was those who are in a borderline or hemodynamically unstable state.Their treatment is often complicated by acute respiratory distress syndrome (ARDS) and multiple organ failure syndrome (MOFS). The reliable risk assessment, associated with the implementation of a single-stage or multi-stage treatment protocol in patients with unstable pelvic injury, is not sufficient, and surgeon has to choose the treatment protocol based only on own experience.The objective was to analyze the results of using single-stage and multi-stage treatment protocols for patients with unstable pelvic trauma and identify insufficiently researched aspects of each of them. |
| format | Article |
| id | doaj-art-081a769eea0f4c21a8623173cf530698 |
| institution | DOAJ |
| issn | 1607-4181 2541-8807 |
| language | Russian |
| publishDate | 2023-05-01 |
| publisher | Academician I.P. Pavlov First St. Petersburg State Medical University |
| record_format | Article |
| series | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
| spelling | doaj-art-081a769eea0f4c21a8623173cf5306982025-08-20T03:00:36ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072023-05-01294899810.24884/1607-4181-2022-29-4-89-98618Deciding on the optimal treatment protocol for patients with severe unstable pelvic traumaV. V. Gvenetadze0A. K. Dulaev1A. N. Tsed2Pavlov UniversityPavlov UniversityPavlov UniversityPelvic trauma caused by high-energy forces are accounting for 3 % to 8 % of all traumatic fractures. These are often accompanied by other life-threatening injuries that is a serious tactic problem. There are many publications on the advantages and disadvantages of multi-stage treatment with the Damage Control Orthopedics protocol and Early Total Surgical Care. However, the most difficult category was those who are in a borderline or hemodynamically unstable state.Their treatment is often complicated by acute respiratory distress syndrome (ARDS) and multiple organ failure syndrome (MOFS). The reliable risk assessment, associated with the implementation of a single-stage or multi-stage treatment protocol in patients with unstable pelvic injury, is not sufficient, and surgeon has to choose the treatment protocol based only on own experience.The objective was to analyze the results of using single-stage and multi-stage treatment protocols for patients with unstable pelvic trauma and identify insufficiently researched aspects of each of them.https://www.sci-notes.ru/jour/article/view/929pelvic traumadamage control orthopaedicsearly total surgical carepolytrauma |
| spellingShingle | V. V. Gvenetadze A. K. Dulaev A. N. Tsed Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова pelvic trauma damage control orthopaedics early total surgical care polytrauma |
| title | Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| title_full | Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| title_fullStr | Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| title_full_unstemmed | Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| title_short | Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| title_sort | deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma |
| topic | pelvic trauma damage control orthopaedics early total surgical care polytrauma |
| url | https://www.sci-notes.ru/jour/article/view/929 |
| work_keys_str_mv | AT vvgvenetadze decidingontheoptimaltreatmentprotocolforpatientswithsevereunstablepelvictrauma AT akdulaev decidingontheoptimaltreatmentprotocolforpatientswithsevereunstablepelvictrauma AT antsed decidingontheoptimaltreatmentprotocolforpatientswithsevereunstablepelvictrauma |