Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
MSc Orthopaedic Trauma Sciences,
QMUL 2017-18
Why is this topic important?
What's the rationale for reviewing the literature?
Is it worth researching?
Which authors have made significant contributions to this field?
What does their literature tell us?
How can the current literature base be improved?
1. Larger, prospective studies are required:
- will likely need to be multi-centre
- to clarify the impact of initial displacement and residual asymmetry on:
- clinical outcomes
- functional outcomes
2. A updated classification system is required:
- to enable equal comparisons between data sets
- to include all variants and avoid inconsistencies
- to allow fracture patterns to be matched to treatments
3. Is there a growing role for the use of MRI and/or bone scans?
4. Does the use of angioembolisation vs. pelvic packing in those with Type 4 +/- unstable fractures influence mortality?
4 take-home messages
1. The Trauma Audit and Research Network (TARN). Severe injury in children [Internet] 2018 [13 May]. Available at: https://www.tarn.ac.uk/Content/ChildrensReport/files/assets/common/downloads/TARN%20document.pdf
2. World Health Organisation (WHO). Injury deaths rise in ranks [Internet]. 2018 [13 May]. Available at: http://www.who.int/violence_injury_prevention/key_facts/VIP_key_fact_3.pdf?ua=1
3. Holden CP, Holman J, Herman MJ. Pediatric pelvic fractures. J Am Acad Orthop Surg. 2007;15:172-177
4. Gansslen A, Heidari N, Weinberg, AM. Fractures of the pelvis in children: a review of the literature. Eur J Orthop Surg Traumatol. 2013;23:847-861
5. Banerjee S, Barry MJ, Paterson JM. Paediatric pelvic fractures: 10 years experience in a trauma centre. Injury. 2009;40:410-413
6. Silber JS, Flynn JM, Koffler KM, et al. Analysis of the cause, classification, and associated injuries of 166 consecutive pediatric pelvic fractures. J Pediatr Orthop. 2001;21:446-450
7. Sink EL, Flynn JM. Thoracolumbar spine and lower extremity fractures. In: Weinstein, SL, Flynn JM, Lovell and Winter’s Pediatric Orthopaedics. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2014:1776-1778
8. Smith W, Shurnas P, Morgan S, et al. Clinical outcomes of unstable pelvic fractures in skeletally immature patients. J Bone Joint Surg Am. 2005; 87:2423-2431
9. Amorosa LF, Kloen P, Helfet DL. High-energy pediatric pelvic and acetabular fractures. Orthop Clin N Am. 2014;45:483-500