embolisation

Acute management

EMST / ATLS PrinciplesPelvic Fracture APC

 

Usually polytrauma

- 10% mortality

 

Aims

1. Volume replacement

2. Reduce pelvic ring

3. Stop exsanguination

- external stabilisation / surgery / embolisation

 

Associated Local Injuries

 

Arterial bleeders

Management

Mirels Prediction system for Pathological Fracture

 

Clin Orthop 1989 

- 38 patients treated with DXRT without surgery 

- most breast cancer

- developed scoring system

- predicts post DXRT fracture risk in preDXRT long bones

- risk of fracture within 6 months 

- irradiated without fixation

 

Four risk factors