Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 2 A comparison of the protocols presented in literature
Reference | Angiography | Laparotomy | Percentage mortality | C.T. scan/FAST/Dpl | External fixation/pelvic clamp |
|---|---|---|---|---|---|
1 | FAST negative | FAST positive | 15 | FAST always, CT scan if haemodynamically stable | Depending on fracture pathway |
8 | All unstable patients | Not specified | 11 | DPL if haemodynamically unstable, CT scan if stable | Urgent ORIF |
10 | Last step | FAST positive | n.s. | NS | Unstable fracture |
14 | DPL negative | DPL positive | 32–45 | DPL if haemodynamically unstable, CT scan if stable | Unstable fracture |
37 | DPL negative | DPL negative | 47 | CT scan if haemodynamically stable, DPL if unstable | Not used |
38 | DPL negative | DPL negative | n.s. | DPL or FAST if haemodynamically unstable, CT scan if stable | First step |
OUR | Last step | FAST positive | 8.6 | FAST always, CT scan if haemodynamically stable | First step |