Deciding on the optimal treatment protocol for patients with severe unstable pelvic trauma

Pelvic trauma caused by high-energy forces are accounting for 3 % to 8 of all traumatic fractures. These often accompanied other life-threatening injuries that is a serious tactic problem. There many publications on the advantages and disadvantages multi-stage treatment with Damage Control Orthopedics protocol Early Total Surgical Care. However, most difficult category was those who in borderline or hemodynamically unstable state. Their complicated acute respiratory distress syndrome (ARDS) multiple organ failure (MOFS). The reliable risk assessment, associated implementation single-stage patients pelvic injury, not sufficient, surgeon has choose based only own experience. objective analyze results using protocols identify insufficiently researched aspects each them.