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Where and what arteries are most likely injured with pelvic fractures? The influence of localization, shape, and fracture dislocation on the arterial injury during pelvic fractures

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F19%3AN0000042" target="_blank" >RIV/00064173:_____/19:N0000042 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11120/19:43917769 RIV/00216208:11130/19:10392826 RIV/71226401:_____/19:N0100269

  • Result on the web

    <a href="https://doi.org/10.1002/ca.23372" target="_blank" >https://doi.org/10.1002/ca.23372</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1002/ca.23372" target="_blank" >10.1002/ca.23372</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Where and what arteries are most likely injured with pelvic fractures? The influence of localization, shape, and fracture dislocation on the arterial injury during pelvic fractures

  • Original language description

    INTRODUCTION: Blood vessels passing through pelvic region come into intimate contact with pelvic bone and can be injured by the sharp edges of the dislocated fracture fragments. The aim of the study was to evaluate the influence of localization, shape and dislocation of individual pelvic ring bones' fractures on arterial injuries. MATERIALS AND METHODS: The study group consisted of 474 patients enrolled in a one-year prospective multicenter study. The pattern of pelvic fracture lines were characterized and recorded on a planar diagram of the subjected side of the pelvis. The diagram was subdivided into 11 designated areas. Frequency of injury at each 11 areas was recorded. The course of individual arteries in the 11 areas were also recorded in relation to each type of pelvic fractures. RESULTS: Out of the 474 investigated patients, the highest proportion of fractures occurred in the areas of the superior (62%) and inferior (59%) ramus of the pubis as well as in the lateral part of the sacrum (19%). These locations can be associated with injuries of the external iliac, obturator, internal iliac and aberrant obturator arteries. CONCLUSION: The highest risk of arterial injuries was associated with vertically displaced fractures in the middle part of the superior and inferior pubic rami, along the ischial ramus, in the apex of the greater sciatic notch and in the vicinity of the ventral part of the sacroiliac joint, where the artery runs at a distance of less than 1 cm from the bone.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30211 - Orthopaedics

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Clinical Anatomy

  • ISSN

    0897-3806

  • e-ISSN

    1098-2353

  • Volume of the periodical

    32

  • Issue of the periodical within the volume

    5

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    7

  • Pages from-to

    682-688

  • UT code for WoS article

    000469935300012

  • EID of the result in the Scopus database

    2-s2.0-85063810873