| Abstract [eng] |
This systematic literature review focuses on the management of complex pelvic fractures. Complex pelvic fractures are severe injuries that are often seen in polytrauma patients. They frequently present with severe or life-threatening complications. Therefore, the management still remains a challenge, that often needs a multidisciplinary team approach. A literature search was done to identify and evaluate the various diagnostic techniques, surgical and non-surgical treatment options and outcomes associated with the management of complex pelvic fractures. Databanks were searched with defined search criteria, as well as inclusion and exclusion criteria. The literature research has shown that the following approaches are beneficial and should be considered in the management of complex pelvic fractures. Pelvic binder application is of great advantage for stabilising pelvic fractures during early management. Additionally, pre-hospital assessment tools or precise classifications play an important role in the initial management as well. Surgical management can have many different approaches, based on specific patient factors and fracture patterns. The focus is on minimally invasive surgery techniques, as well as on overall surgical advancements for specific injury patterns. Specific patient groups, such as geriatric patients, need to be considered, as well as unique cases that may require specific treatment approaches. |
