Integrated Multidisciplinary Management of Pelvic Fractures: Tips and Tricks

Integrated Multidisciplinary Management of Pelvic Fractures: Tips and Tricks

Assoc. Prof. Ilir Hasani, MD, PhD,¹, Rifat Latifi², Artan Hajdari¹, Rron Elezi¹, Ismail Veliu¹, Fati Ebibi¹

¹PHI Traumatology Clinic – Skopje, Medical Faculty, University “St Cyril and Methodius” Skopje

² Professor of Surgery, University of Arizona, College of Medicine, Tucson, Arizona

Corresponding author:
Assoc. Prof. Ilir Hasani, MD, PhD

General Surgeon – Traumatologist

[email protected]

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Abstract 

Pelvic fractures represent complex and life-threatening conditions that necessitate integrated management across multiple healthcare specialties due to their involvement of various anatomical structures. This paper discusses the critical aspects of multidisciplinary approaches in both the acute and delayed management of pelvic trauma. It outlines the anatomy and pathophysiology of pelvic fractures, emphasizing the importance of understanding the stability provided by ligaments and the implications of fracture classifications. The role of an experienced surgical team is highlighted, especially in emergency settings where immediate recognition of potentially life-threatening hemorrhages and hemodynamic stability takes precedence over anatomical considerations. A coordinated effort among trauma surgeons, anesthesiologists, and radiologists in the emergency department is essential to optimize patient outcomes. The text also addresses the challenges presented by varying ED structures, the necessity for effective communication, and the advancement of imaging technology, which enhances decision-making processes in managing pelvic fractures.

Keywords: Pelvic fractures; multidisciplinary management; hemorrhage control; emergency care; trauma surgery; patient outcomes; interdisciplinary cooperation; pathophysiology.

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