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Revisão Produção Nacional Revisado por pares

BIBTEX RIS

Treatment of pelvic fractures – a national survey

2014; Elsevier BV; Volume: 45; Linguagem: Inglês

10.1016/s0020-1383(14)70021-x

1879-0267

Daniel Balbachevsky, João Carlos Belloti, Daniel Doca, Bruno Jannarelli, João Alberto Yazigi, Hélio Jorge Alvachian Fernandes, Fernando Baldy dos Reis,

Hip and Femur Fractures

Introduction This survey was conducted during the 38th Brazilian Congress of Orthopaedics and Traumatology to identify the opinion of Brazilian orthopaedic surgeons on the standard treatment of pelvic fractures. Materials and methods Participants were randomly selected and invited to voluntarily answer a questionnaire of 10 multiple choice questions addressing the main aspects of the treatment of pelvic fractures: classification, fixation methods in unstable patients, optimal surgical timing in stable patients, and fixation methods in different types of anterior and posterior pelvic injuries. Results/Conclusion Three hundred and fifty-two questionnaires were completed, and the following main observations were made: most orthopaedists prefer to use an external fixator in the iliac crest for the emergency stabilisation of pelvic injuries in haemodynamically unstable patients (79.5%); they consider a period of up to one week as optimal for fixation in stable patients (55.1%); they use a plate for the fixation of fractures of the iliopubic rami through a Pfannenstiel or ilio-inguinal approach (53.9%); and they use reconstruction plates for the fixation of fractures of the iliac wing (63.1%). Regarding other studied aspects, there was no predominance of more than 50% of the choices among respondents.