Penatalaksanaan Fraktur Pelvis

Oleh :

dr.Eva Naomi Oretla

Penatalaksanaan fraktur pelvis atau fraktur tulang panggul terbagi menjadi penatalaksanaan awal, yaitu resusitasi cairan, tindakan non operatif, seperti traksi tulang, dan tindakan operatif, berupa fiksasi eksternal dan internal.[1,2,4,7]

Tujuan dari penatalaksanaan fraktur pelvis adalah mengontrol perdarahan, stabilisasi status hemodinamik, pemulihan integritas mekanik dan stabilisasi cincin pelvis, mencegah komplikasi yang dapat terjadi, serta stabilisasi pelvis secara definitif.[1,2,4,7]

Algoritma Tata Laksana dari World Society of Emergency Surgery

Referensi

1. Mostafa A, Kyriacou H, et al. An overview of the key principles and guidelines in the management of pelvic fractures. Journal of Perioperative Practice. 2021;31(9):341–348 DOI: 10.1177/1750458920947358
2. Chilmi MZ, Dilogo IH. Definitive Management Option of Pelvic Ring Injury. Hip Knee J.2021;2(2):61-71 DOI:http://dx.doi.org/10.46355/hipknee.v2i2.112
4. Benders K, Leenen L. Management of Hemodynamically Unstable Pelvic Ring Fractures. Front. Surg. 2020;7:601321 DOI:10.3389/fsurg.2020.601321
7. Coccolini F, Stahel PF, Montori G, et al. Pelvic trauma: WSES classification and guidelines. World Journal of Emergency Surgery. 2017;12(5):1-18 DOI:10.1186/s13017-017-0117-6
8. Moore N. Pelvic Fracture in Emergency Medicine. Medscape. 2017.
9. Chaudhry SR, et al. Anatomy, Abdomen and pelvis, pelvis. StatPearls. 2021.
16. Salcedo MP, Sood AK, et al. Pelvic Fractures and Changes in Bone Mineral Density After Radiotherapy for Cervical, Endometrial, and Vaginal Cancer: A Prospective Study of 239 Women. Cancer. 2020;126:2607-2613 DOI: https://doi.org/10.1002/cncr.32807
17. Russell G V. Pelvic Fracture. Medscape. 2020.
18. Efendiyeva E, Messova A, Myssayev A, et al. Epidemiology of Pelvic Ring Fractures and Injuries: A Retrospective Study. Open Access Maced J Med Sci. 2021;9(A):901-905. DOI:https://doi.org/10.3889/oamjms.2021.6876
19. Hermans E, Edwards M J R, et al. Open pelvic fracture: the killing fracture?. Journal of Orthopaedic Surgery and Research. 2018;13(83):1-8 DOI:https://doi.org/10.1186/s13018-018-0793-2
26. Marmor M, El Naga AN, Barker J,et al. Management of Pelvic Ring Injury Patients With Hemodynamic Instability. Front.Surg. 2020;7(588845):1-13 doi: 10.3389/fsurg.2020.588845
30. Cheung J, Wong C K K, et al. Young–Burgess classification: Inter-observer and intermethod agreement between pelvic radiograph and computed tomography in emergency polytrauma management. Hong Kong Journal of Emergency Medicine. 2021;28(3):143–151 DOI: 10.1177/1024907919857008
34. Adams JD, Marshall WA. The Use of Tranexamic Acid in Hip and Pelvic Fracture Surgeries. J Am Acad Orthop Surg. 2021;29(12):e576-e583 DOI: 10.5435/JAAOS-D-20-00750
35. Russell GV. What is the role of traction in the treatment of pelvic fractures?. Medscape. 2020.
36. Choudhry B, Leung B, Filips E, et al. Keeping the Traction on in Orthopaedics. Cureus. 2020;12(8):e10034 DOI 10.7759/cureus.10034
37. Kam C W, Law P k J, et al. The 10 commandments of exsanguinating pelvic fracture management. Hong Kong Journal of Emergency Medicine. 2019;26(6):357–370 DOI: 10.1177/1024907919869501
38. Burlew C C. Preperitoneal pelvic packing: A 2018 EAST Master Class Video Presentation. J Trauma Acute Care Surg. 2018;85(1):224-228 DOI: 10.1097/TA.0000000000001881
39. Takahashi A, Naruse H, et al. Functional outcomes after the treatment of hip fracture. PLoS ONE. 2020;15(7):e0236652 DOI: https://doi.org/10.1371/journal.pone.0236652
40. M Christine, Haris-Hayes M, et al. Physical Therapy Management of Older Adults With Hip Fracture. J Orthop Sports Phys Ther. 2021;51(2):CPG1-CPG81 DOI:10.2519/jospt.2021.0301

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