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Schildhauer, TA; Chapman, JR; Mayo, KA.
Multisegmental open sacral fracture due to impalement: a case report.
J Orthop Trauma. 2005; 19(2):134-139
Doi: 10.1097/00005131-200502000-00011
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Schildhauer Thomas Armin
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- Abstract:
- We report on an unusual impalement injury to the sacrum in a 15-year-old adolescent patient. This open pelvic fracture resulted in a shattered sacrum with neurologic impairment including clinically absent anal sphincter tone and perineal sensation. Early debridement, wound revision, neural decompression, fracture reduction, and stable fixation using lumbopelvic fixation according to the principles of triangular osteosynthesis resulted in a favorable outcome with primary wound healing, return of bowel and bladder control, as well as immediate patient mobilization.
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Accidental Falls -
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Adolescent -
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Cauda Equina - injuries
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Debridement -
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Female -
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Fracture Fixation, Internal - methods
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Fractures, Comminuted - complications Fractures, Comminuted - etiology Fractures, Comminuted - surgery
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Humans -
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Sacrum - injuries Sacrum - radiography
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Wound Healing -
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Wounds, Penetrating - complications Wounds, Penetrating - etiology
- Find related publications in this database (Keywords)
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complex sacral impalement injury
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lumbopelvic fixation
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triangular osteosynthesis
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open pelvis fracture