A man in his forties was brought to the Penn State Hershey Medical Center trauma unit. The patient sustained an open pelvic fracture, as well as an irreducible hip dislocation; he had a significant injury to his lower intestinal tract and massive soft tissue loss.
“Open pelvic fractures have a mortality rate of 50 percent. If you combine this with the spectrum of additional injuries this patient presented with, that number is probably closer to 75 percent,” says Henry Boateng, M.D., an orthopaedic trauma surgeon with Penn State Hershey Bone and Joint Institute. A team of trauma, colorectal, orthopaedic, and plastic surgeons joined together to improve the odds for this patient. “For cases like this, we take a very aggressive approach, and prioritize the treatments needed. The goal in the early stages is to prevent infection and provide stability,” explains Boateng. The abdomen was emergently addressed, the hip was emergently reduced, and the pelvis was then stabilized. Continue reading