TY - JOUR
T1 - Surgical Wound Complications after Percutaneous Posterior Pelvic Ring Fixation in Patients Who Undergo Pelvic Arterial Embolization
AU - Namm, Joshua D.
AU - Obey, Mitchel R.
AU - Jo, Sally
AU - Berkes, Marschall B.
AU - McAndrew, Christopher M.
AU - Miller, Anna N.
N1 - Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Objective: To report on the incidence of surgical wound complications after percutaneous posterior pelvic ring fixation in patients who have also undergone pelvic arterial embolization (PAE) and determine whether the risks outweigh the benefits. Design: Retrospective cohort study. Setting: Academic level 1 trauma center. Patients: Two hundred one consecutive patients who underwent percutaneous posterior pelvic fixation at our institution were included in this study. Of these, 27 patients underwent pelvic arterial embolization. Intervention: Percutaneous posterior pelvic fixation and pelvic arterial embolization. Main Outcome Measurements: Charts were reviewed for posterior percutaneous surgical wound complications including infection, dehiscence, seroma, tissue necrosis, and return to OR for debridement in all patients. Results: Of the 27 patients who received PAE, none developed posterior surgical wound complications. Of those who did not receive PAE, there was one posterior surgical wound complication documented. There were no cases of wound infection in either group. Conclusion: Pelvic arterial embolization can be a valuable intervention in treating hemodynamically unstable patients with pelvic ring injuries. Although even selective pelvic arterial embolization is not entirely benign, there seems to be minimal risk of wound complications when percutaneous posterior pelvic ring fixation is performed.
AB - Objective: To report on the incidence of surgical wound complications after percutaneous posterior pelvic ring fixation in patients who have also undergone pelvic arterial embolization (PAE) and determine whether the risks outweigh the benefits. Design: Retrospective cohort study. Setting: Academic level 1 trauma center. Patients: Two hundred one consecutive patients who underwent percutaneous posterior pelvic fixation at our institution were included in this study. Of these, 27 patients underwent pelvic arterial embolization. Intervention: Percutaneous posterior pelvic fixation and pelvic arterial embolization. Main Outcome Measurements: Charts were reviewed for posterior percutaneous surgical wound complications including infection, dehiscence, seroma, tissue necrosis, and return to OR for debridement in all patients. Results: Of the 27 patients who received PAE, none developed posterior surgical wound complications. Of those who did not receive PAE, there was one posterior surgical wound complication documented. There were no cases of wound infection in either group. Conclusion: Pelvic arterial embolization can be a valuable intervention in treating hemodynamically unstable patients with pelvic ring injuries. Although even selective pelvic arterial embolization is not entirely benign, there seems to be minimal risk of wound complications when percutaneous posterior pelvic ring fixation is performed.
KW - orthopaedic trauma
KW - pelvic embolization
KW - pelvic ring fractures
UR - http://www.scopus.com/inward/record.url?scp=85103227830&partnerID=8YFLogxK
U2 - 10.1097/BOT.0000000000001956
DO - 10.1097/BOT.0000000000001956
M3 - Review article
C2 - 32931686
AN - SCOPUS:85103227830
SN - 0890-5339
VL - 35
SP - 167
EP - 170
JO - Journal of Orthopaedic Trauma
JF - Journal of Orthopaedic Trauma
IS - 4
ER -