Fracture management of unstable pelvic fractures

If a patient has an unstable pelvic fracture, do you transfer or apply an external fixator first?

The 2009 Orthopaedic Trauma Association (OTA) Specialty Day addressed a variety of fracture management controversies, including current surgical indications and techniques for problem pelvic and acetabular fractures. Michael T. Archdeacon, MD, MSE, and Alexandra K. Schwartz, MD, faced off on the question of whether to transfer a patient with an unstable pelvic fracture or to apply an external fixator.

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