Song et al reported factors associated with infection or death in a patient with an open pelvic fracture with rectal injuries. The authors are from Shandong Provincial Hospital and Shandong University in China.

Patient selection: open pelvic fracture with rectal injuries


Predictors for pelvic infection and/or death:

(1) shock (infection)

(2) failure to perform a colostomy (infection)

(3) revised trauma score <= 8 (score range 0 to 12, incorporating respiratory rate, systolic blood pressure and Glasgow Coma Scale) (death)


Other risk factors from univariate analysis for infection:

(1) Gustilo-Anderson grade III soft tissue injury (extensive, flaps of soft tissue)

(2) massive blood transfusion (>= 10 units in the first 24 hours)


An unstable pelvic fracture should undergo:

(1) aggressive treatment of shock

(2) open reduction and internal fixation (ORIF)

(3) extensive debridement

(4) early colostomy if indicated

To read more or access our algorithms and calculators, please log in or register.