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Paediatric pelvic fractures – an updated literature review

BACKGROUND: Pelvic fractures in children are indicative of significant trauma. Patients will often have associated injuries – some of which require urgent intervention to prevent death and disability. Paediatric and adult pelvises respond to traumatic forces differently and distinct approaches are r...

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Detalles Bibliográficos
Autores principales: Nguyen, Alexander T. M., Drynan, David P., Holland, Andrew J. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084350/
https://www.ncbi.nlm.nih.gov/pubmed/35781759
http://dx.doi.org/10.1111/ans.17890
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author Nguyen, Alexander T. M.
Drynan, David P.
Holland, Andrew J. A.
author_facet Nguyen, Alexander T. M.
Drynan, David P.
Holland, Andrew J. A.
author_sort Nguyen, Alexander T. M.
collection PubMed
description BACKGROUND: Pelvic fractures in children are indicative of significant trauma. Patients will often have associated injuries – some of which require urgent intervention to prevent death and disability. Paediatric and adult pelvises respond to traumatic forces differently and distinct approaches are required for each population. Historically, pelvic fractures have been treated conservatively, but this trend is changing with a better understanding of the pelvis' inability to remodel significant deformity, as well as new techniques for operative fixation. METHODS: A comprehensive search of the literature was conducted for articles published between 2000 and 2020 on paediatric pelvic fractures using medical databases including PubMed, Embase and the Cochrane Library. RESULTS: We included 143 studies in our literature review and summarized the incidence, pathophysiology, assessment, management and complications associated with paediatric pelvic fractures. CONCLUSIONS: The rarity of paediatric pelvic fractures corresponds with a paucity of randomized clinical trials covering this topic. Trends such as the screening pelvic x‐ray are derived from adult populations but are now questioned in children. Other aspects of assessment and management of these children warrant such levels of scrutiny.
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spelling pubmed-100843502023-04-11 Paediatric pelvic fractures – an updated literature review Nguyen, Alexander T. M. Drynan, David P. Holland, Andrew J. A. ANZ J Surg Review Articles BACKGROUND: Pelvic fractures in children are indicative of significant trauma. Patients will often have associated injuries – some of which require urgent intervention to prevent death and disability. Paediatric and adult pelvises respond to traumatic forces differently and distinct approaches are required for each population. Historically, pelvic fractures have been treated conservatively, but this trend is changing with a better understanding of the pelvis' inability to remodel significant deformity, as well as new techniques for operative fixation. METHODS: A comprehensive search of the literature was conducted for articles published between 2000 and 2020 on paediatric pelvic fractures using medical databases including PubMed, Embase and the Cochrane Library. RESULTS: We included 143 studies in our literature review and summarized the incidence, pathophysiology, assessment, management and complications associated with paediatric pelvic fractures. CONCLUSIONS: The rarity of paediatric pelvic fractures corresponds with a paucity of randomized clinical trials covering this topic. Trends such as the screening pelvic x‐ray are derived from adult populations but are now questioned in children. Other aspects of assessment and management of these children warrant such levels of scrutiny. John Wiley & Sons Australia, Ltd 2022-07-03 2022-12 /pmc/articles/PMC10084350/ /pubmed/35781759 http://dx.doi.org/10.1111/ans.17890 Text en © 2022 The Authors. ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Nguyen, Alexander T. M.
Drynan, David P.
Holland, Andrew J. A.
Paediatric pelvic fractures – an updated literature review
title Paediatric pelvic fractures – an updated literature review
title_full Paediatric pelvic fractures – an updated literature review
title_fullStr Paediatric pelvic fractures – an updated literature review
title_full_unstemmed Paediatric pelvic fractures – an updated literature review
title_short Paediatric pelvic fractures – an updated literature review
title_sort paediatric pelvic fractures – an updated literature review
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084350/
https://www.ncbi.nlm.nih.gov/pubmed/35781759
http://dx.doi.org/10.1111/ans.17890
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