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Rehabilitative management of pelvic fractures: a literature-based update

Authors

Francesco Piccione
Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy.
Maria Chiara Maccarone
mariachiara.maccarone93@gmail.com
Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy.
Anna Maria Cortese
IRCCS San Camillo Hospital, Venice, Italy.
Guido Rocca
Umberto Sansubrino
Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy.
Giovanni Piran
Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy.
Stefano Masiero
Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy; Physical Medicine and Rehabilitation School, University of Padova, Padua, Italy.

A comprehensive rehabilitation program is required after Pelvic Fracture (PF). In a PF rehabilitation setting an effective treatment and a proper management of complications is supplied by an appropriate and reliable clinical assessment. In this literature-based update, we search on MEDLINE, EMBASE, and the Cochrane Database of Systematic reviews to find articles, scientific society guidelines and practioners experiences defining the rehabilitative management of clinically PF outcomes. Based on literature evidences and expert opinions, a set of key topics was collated to generate advices and recommendations to put into daily practice. Even if there are no high-quality evidence for rehabilitative interventions after PF in terms of duration and modality of therapy, rehabilitation setting, care pathways, and long-term functional outcomes, it is strongly recommended an early multidisciplinary intervention to improve recovery from PF.

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Yacer Asran, Thomas Mutungi, Kapil Shirodkar, Ganesh Hegde, Sameer Shamshuddin, Robin Proctor, Jawad Naqvi, David Knowles, Imran Ali (2025)
Musculoskeletal Computed Tomography: How to Add Value When Reporting Adult Lower Limb Trauma. Journal of Computer Assisted Tomography, 49(2), 313.
10.1097/RCT.0000000000001675
Sabina Tim, Agnieszka I. Mazur-Bialy (2021)
The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life, 11(12), 1397.
10.3390/life11121397
Deepali S Patil, Vaishnavi M Thakre, Nikita Gangwani (2023)
Physiotherapy Management Focusing on Early Mobilisation in Complex Pelvic and Pott’s Fracture. Cureus,
10.7759/cureus.49525
Yosuke Nagai (2024)
Rehabilitation of pelvic fracture. The Journal of Physical Fitness and Sports Medicine, 13(4), 105.
10.7600/jpfsm.13.105
Ntombenkosi A. Sobantu, Muziwakhe D. Tshabalala, Verusia Chetty (2023)
Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa. South African Family Practice, 65(1),
10.4102/safp.v65i1.5705
Maria Chiara Maccarone, Daniele Coraci, Umberto Sansubrino, Francesco Piccione, Stefano Masiero, Raffaele Zanella (2021)
Reply on the comments about Piccione F, Maccarone MC, Cortese AM, Rocca G, Sansubrino U, Piran G, Masiero S. Rehabilitative management of pelvic fractures: a literature-based update. Eur J Transl Myol. 2021 Sep 17;31(3):9933. doi: 10.4081/ejtm.2021.9933. European Journal of Translational Myology, 31(4),
10.4081/ejtm.2021.10307
Zehua Li, Dilihumaer Maimaitiming, Leqi Sun, Haoran Wang, Weixi Xiong (2021)
Rehabilitative management of pelvic fractures needs to be further optimized. European Journal of Translational Myology, 31(4),
10.4081/ejtm.2021.10246
Mohamed M. F. Sharaby, Younes M. El-Deeb (2022)
Is intravenous tranexamic acid effective in reduction of blood loss during pelvic and acetabular surgery?. International Orthopaedics, 46(8), 1721.
10.1007/s00264-022-05416-y
Matias Vaajala, Ilari Kuitunen, Rasmus Liukkonen, Ville Ponkilainen, Maiju Kekki, Ville M. Mattila (2022)
The rate of elective cesarean section after pelvic or hip fracture remains high even after the long-term follow-up: A nationwide register-based study in Finland. European Journal of Obstetrics & Gynecology and Reproductive Biology, 277, 77.
10.1016/j.ejogrb.2022.08.013
Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury. 2005;36(1):1-13. PMID: 15589906.
Yoshihara H, Yoneoka D. Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. J Trauma Acute Care Surg. 2014;76(2):380-5. PMID: 24398776.
Sharpe JP, Magnotti LJ, Gobbell WC, et al. Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture. J Trauma Acute Care Surg. 2017;82(3):444-450.
Rommens PM. Pelvic ring injuries: a challenge for the trauma surgeon. Acta Chir Belg. 1996;96(2):78-84.
Wilker DK, Izbicki JR, Euler E, Schweiberer L. Verletzungen des Beckens und der Retroperitonealorgane [Injuries of the pelvis and retroperitoneal organs]. Urologe A. 1991;30(3):183-188.
Phruetthiphat OA, Willey M, Karam MD, Gao Y, Westerlind BO, Marsh JL. Comparison of Outcomes and Complications of Isolated Acetabular Fractures and Acetabular Fractures With Associated Injuries. J Orthop Trauma. 2017;31(1):31-36. doi:10.1097/BOT.0000000000000720
Gribnau AJ, van Hensbroek PB, Haverlag R, Ponsen KJ, Been HD, Goslings JC. U-shaped sacral fractures: surgical treatment and quality of life. Injury. 2009;40(10):1040-1048.
Coccolini F, Stahel PF, Montori G, et al. Pelvis fractures: WSES classification and guidelines. World J Emerg Surg. 2017;12:5.
Cai L, Lou Y, Guo X, Wang J. Surgical treatment of unstable pelvic fractures with concomitant acetabular fractures. Int Orthop. 2017;41(9):1803-1811.
Ruesch PD, Holdener H, Ciaramitaro M, Mast JW. A prospective study of surgically treated acetabular fractures. Clin OrthopRelat Res. 1994;(305):38-46.
Meys G, Kalmet PHS, Sanduleanu S, et al. A protocol for permissive weight-bearing during allied health therapy in surgically treated fractures of the pelvis and lower extremities. J Rehabil Med. 2019;51(4):290-297.
Raman R, Senior C, Segura P, Giannoudis PV. Management of scrotal swelling after pelvic and acetabular fractures. Br J Nurs. 2004;13(8):458-461.
Pohlemann T, Tscherne H, Baumgärtel F, et al. Beckenverletzungen: Epidemiologie, Therapie und Langzeitverlauf. Ubersichtüber die multizentrischeStudie der ArbeitsgruppeBecken [Pelvic fractures: epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvis Study Group]. Unfallchirurg. 1996;99(3):160-167.
Čižmář I, Vlček M, Ehler E, Dráč P. Rekonstrukce paréz dolní končetiny po zlomeninách pánve svalovými transfery [Reconstruction of Lower Extremity Palsy after Pelvic Fractures with the Muscle Transfers]. Acta Chir Orthop Traumatol Cech. 2019;86(5):348-352.
Chiodo A. Neurologic injury associated with pelvis fractures: radiology and electrodiagnosis evaluation and their relationships to pain and gait outcome. Arch Phys Med Rehabil. 2007;88(9):1171-1176.
Cakmak A. Electrical stimulation of denervated muscles. Disabil Rehabil. 2004;26(7):432-433.
Jang DH, Byun SH, Jeon JY, Lee SJ. The relationship between lumbosacral plexopathy and pelvic fractures. Am J Phys Med Rehabil. 2011;90(9):707-712.
Fleiter N, Reimertz C, Lustenberger T, et al. Bedeutung der korrekten Positionierung eines Beckengurts zur temporären Stabilisierung von Beckenringverletzungen [Importance of the correct placement of the pelvic binder for stabilisation of haemodynamically compromised patients]. Z Orthop Unfall. 2012;150(6):627-629.
Hsu SD, Chen CJ, Chou YC, Wang SH, Chan DC. Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvis fractures: A Retrospective Cohort Study. Int J Environ Res Public Health. 2017;14(10):1217.
Fu CY, Huang RY, Wang SY, et al. Concomitant external and internal hemorrhage: Challenges to managing patients with open pelvic fracture. Am J Emerg Med. 2018;36(11):1937-1942.
Yi C, Hak DJ. Traumatic spinopelvic dissociation or U-shaped sacral fracture: a review of the literature. Injury. 2012;43(4):402-408.
Wong LC, Chiu WK, Russ M, Liew S. Review of techniques for monitoring the healing fracture of bones for implementation in an internally fixated pelvis. Med Eng Phys. 2012;34(2):140-152.
Ruedi T. AO principles of fracture management. New York: Thieme; 2007.
Khan F, Amatya B, Hoffman K. Systematic review of multidisciplinary rehabilitation in patients with multiple trauma. Br J Surg. 2012;99 Suppl 1:88-96.
Meys G, Kalmet PHS, Sanduleanu S, et al. A protocol for permissive weight-bearing during allied health therapy in surgically treated fractures of the pelvis and lower extremities. J Rehabil Med. 2019;51(4):290-297.
Bergstrom N, Bennet MA, Carlson et al.: pressure ulcer treatment clinical practice guideline. Quick reference guide for clinicians, No 15, Rockville, MD, US Department of health and human service. Agency for health care policy and research. AHCPR publication No 95-0653. December 1994.
Szulc P. Impact of Bone Fracture on Muscle Strength and Physical Performance-Narrative Review. Curr Osteoporos Rep. 2020;18(6):633-645.
Rice LA, Ousley C, Sosnoff JJ. A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults. Disabil Rehabil. 2015;37(19):1697-705.
Milner-Brown HS, Miller RG. Muscle strengthening through high-resistance weight training in patients with neuromuscular disorders. Arch Phys Med Rehabil. 1988;69(1):14-19.
Cup EH, Pieterse AJ, Ten Broek-Pastoor JM, et al. Exercise therapy and other types of physical therapy for patients with neuromuscular diseases: a systematic review Arch Phys Med Rehabil 2007;88:1452-64
AO Foundation. 2014. Available from: www.aofoundation.org
Schmal H, Hauschild O, Culemann U, et al. Identification of risk factors for neurological deficits in patients with pelvic fractures. Orthopedics. 2010;33(8):10.3928/01477447-20100625-13.
Kaiser R. Chirurgická léčba poranění nervů dolních končetin [Surgical treatment of lower extremity peripheral nerve injuries]. Cas Lek Cesk. 2016;155(3):16-20.
Kim JW, Shon HC, Park JH. Injury of the obturator nerve in the modified Stoppa approach for acetabular fractures. Orthop Traumatol Surg Res. 2017;103(5):639-644.
Conway RR, Hubbell SL. Electromyographic abnormalities in neurologic injury associated with pelvic fracture: case reports and literature review. Arch Phys Med Rehabil. 1988;69(7):539-541
Studer P, Kosuge D, Rickman M, Solomon LB. Versatility of an Extended Posterior Approach for the Treatment of Acetabular Fractures With Reference to the Superior Gluteal Neurovascular Bundle. J Orthop Trauma. 2016;30(8):e289-e293.
Bogdan Y, Tornetta P 3rd, Jones C, et al. Neurologic Injury in Operatively Treated Acetabular Fractures. J Orthop Trauma. 2015;29(10):475-478.
Beaulé PE, Antoniades J, Matta JM. Trans-sacral fixation for failed posterior fixation of the pelvic ring. Arch Orthop Trauma Surg. 2006;126(1):49-52.
Lehmann W, Hoffmann M, Fensky F, et al. What is the frequency of nerve injuries associated with acetabular fractures?. Clin Orthop Relat Res. 2014;472(11):3395-3403.
Lao A, Putman S, Soenen M, Migaud H. The ilio-inguinal approach for recent acetabular fractures: ultrasound evaluation of the ilio-psoas muscle and complications in 24 consecutive patients. Orthop Traumatol Surg Res. 2014;100(4):375-378.
Mirovsky Y, Neuwirth M. Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine (Phila Pa 1976). 2000;25(10):1266-1269.
Quan RF, Yang DS, Wang YJ. Study of the morphology and biomechanics of sacral fracture. Chin J Traumatol. 2006;9(5):259-265.
Kimura J. Electrodiagnosis in diseases of nerve and muscles: principles and practice. Oxoford University Press. 2001.
Kim DH, Murovic JA, Tiel RL, Kline DG. Intrapelvic and thigh-level femoral nerve lesions: management and outcomes in 119 surgically treated cases. J Neurosurg. 2004;100(6):989-996. doi:10.3171/jns.2004.100.6.0989
Parizotto NA. Is electrical stimulation a consolidated treatment for denervated muscles and functional recovery after nerve injuries?. Muscle Nerve. 2011;43(2):299-300.
Kern H, Salmons S, Mayr W, Rossini K, Carraro U. Recovery of long-term denervated human muscles induced by electrical stimulation. Muscle Nerve. 2005;31(1):98–101.
Pieber K, Herceg M, Paternostro-Sluga T, Schuhfried O. Optimizing stimulation parameters in functional electrical stimulation of denervated muscles: a cross-sectional study. J Neuroeng Rehabil. 2015;12:51.
Džupa V, Otčenášek M, Vránová J, Ducháč V, Grill R, Báča V. Mikční, sexuální a defekační problémy u žen v aktivním věku po zlomenině pánve: srovnávací studie [Micturition, sexual and defecation disorders in middle-aged women after pelvic fractures. A comparative study]. Acta Chir Orthop Traumatol Cech. 2012;79(3):263-268.
Odutola AA, Sabri O, Halliday R, Chesser TJ, Ward AJ. High rates of sexual and urinary dysfunction after surgically treated displaced pelvic ring injuries. Clin Orthop Relat Res. 2012;470(8):2173-2184.
Aşci R, Sarikaya S, Büyükalpelli R, Saylik A, Yilmaz AF, Yildiz S. Voiding and sexual dysfunctions after pelvic fracture urethral injuries treated with either initial cystostomy and delayed urethroplasty or immediate primary urethral realignment. Scand J Urol Nephrol. 1999;33(4):228-233.
Neymark AI, Voytenko AN, Bondarenko AV, Muzalevskaya NI, Kruglykhin IV. Urologiia. 2015;(5):38-42.
Umphred DA (ed): Neurological Rehabilitation, 3rd ed. St Louis, Mosby, 1995
Fantl JA, Newman DK, Colling J, et al. Managing acute and chronic urinary incontinence. U.S. Department of Health and human services. J Am Acad Nurse Pract. 1996;8(8):390-403.
White CE, Hsu JR, Holcomb JB. Haemodynamically unstable pelvic fractures. Injury. 2009;40(10):1023-1030.
Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318(7182):487-493.
Weems WL. Management of genitourinary injuries in patients with pelvic fractures. Ann Surg. 1979;189(6):717-723.
Hurt AV, Ochsner JL, Schiller WR. Prolonged ileus after severe pelvic fracture. Am J Surg. 1983;146(6):755-757.
Ashai F, Mam MK, Iqbal S. Ileal entrapment as a complication of fractured pelvis. J Trauma. 1988;28(4):551-552.
Haj M, Griemberg B, Alkalay I, Stamler B. Large bowel herniation through a central fracture of iliac bone. Isr J Med Sci. 1982;18(2):281-283.
El-Assmy A, Harraz AM, Benhassan M, Nabeeh A, Ibrahiem el H. Erectile function after anastomotic urethroplasty for pelvic fracture urethral injuries. Int J Impot Res. 2016;28(4):139-142.
Ceylan HH, Kuyucu E, Erdem R, et al. Does pelvic injury trigger erectile dysfunction in men?. Chin J Traumatol. 2015;18(4):229-231.
Koraitim MM. Predictors of erectile dysfunction post pelvic fracture urethral injuries: a multivariate analysis. Urology. 2013;81(5):1081-1085.
Mark SD, Keane TE, Vandemark RM, Webster GD. Impotence following pelvic fracture urethral injury: incidence, aetiology and management. Br J Urol. 1995;75(1):62-64.
Matthews LA, Herbener TE, Seftel AD. Impotence associated with blunt pelvic and perineal trauma: penile revascularization as a treatment option. Semin Urol. 1995;13(1):66-72.
Peng J, Zhang Z, Gao B, et al. Effect of daily sildenafil on patients with absent nocturnal erections due to pelvic fracture urethral disruption: a single-centre experience. Andrologia. 2016;48(10):1120-1124.
Wang CJ, Lu YM, Li CC, Wu WJ, Chien TM. Low-intensity shock wave therapy ameliorates erectile dysfunction in men with pelvic fractures associated with urethral injury. Int J Impot Res. 2019;31(3):218-222.
Sangkum P, Levy J, Yafi FA, Hellstrom WJ. Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes. Andrology. 2015;3(3):443-449.
Shenfeld OZ, Kiselgorf D, Gofrit ON, et al. The incidence and causes of erectile dysfunction after pelvic fractures associated with posterior urethral disruption. J Urol. 2003;169(6):2173-2176.
Johnsen NV, Kaufman MR, Dmochowski RR, Milam DF. Erectile Dysfunction Following Pelvic Fracture Urethral Injury. Sex Med Rev. 2018;6(1):114-123.
Tang YX, Jiang XZ, Tan J, Huang K, Tang J. Zhong Nan Da XueXue Bao Yi Xue Ban. 2004;29(4):478-493.
da Silva Gaspar SR, Ferreira ND, Oliveira T, Oliveira P, Dias JS, Lopes TM. Magnetic Resonance Imaging and Pelvic Fracture Urethral Injuries. Urology. 2017;110:9-15.
Machtens S, Gänsslen A, Pohlemann T, Stief CG. Erectile dysfunction in relation to traumatic pelvic injuries or pelvic fractures. BJU Int. 2001;87(5):441-448.
Nieto-Esquivel A, Delgado-Balderas R, Robles-Torres JI, Gómez-Guerra LS. Uso de tadalafilo en la rehabilitación de pacientes con antecedente de lesión de uretra posterior en el contexto de fractura pélvica [Use of tadalafil in the rehabilitation of patients with a history of posterior urethral injury in the context of pelvic fracture]. Rev Int Androl. 2018;16(1):15-19.
Tang YX, Gan Y, Zhang XB, et al. Zhonghua Nan KeXue. 2013;19(6):539-541.
Peng J, Yuan YM, Zhang ZC, et al. Zhonghua Nan KeXue. 2013;19(5):443-445.
Xin Z, Lin G, Lei H, Lue TF, Guo Y. Clinical applications of low-intensity pulsed ultrasound and its potential role in urology. Transl Androl Urol. 2016;5(2):255-266. doi:10.21037/tau.2016.02.04
Chung PH, Gehring C, Firoozabadi R, Voelzke BB. Risk Stratification for Erectile Dysfunction After Pelvic Fracture Urethral Injuries. Urology. 2018;115:174-178.
Li P, Zhou D, Fu B, Song W, Dong J. Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases. BMC Musculoskelet Disord. 2019;20(1):466.
Aggarwal A, Pandey S, Singh V, Sinha RJ. Post-traumatic bony impingement into vagina: a rare cause of urethrovaginal fistula. BMJ Case Rep. 2018;2018:bcr2018226004.
Goswami D, Kochhar PK, Suri T, Zutshi V, Batra S. Obstetric and gynecological outcome in a patient with traumatic pelvic fracture and perineal injuries. J Obstet Gynaecol Res. 2012;38(8):1118-1123. 1. Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury. 2005;36(1):1-13. DOI: https://doi.org/10.1016/j.injury.2004.05.029
Yoshihara H, Yoneoka D. Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality. J Trauma Acute Care Surg. 2014;76(2):380-5. DOI: https://doi.org/10.1097/TA.0b013e3182ab0cde
Sharpe JP, Magnotti LJ, Gobbell WC, et al. Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture. J Trauma Acute Care Surg. 2017;82(3):444-450. DOI: https://doi.org/10.1097/TA.0000000000001346
Rommens PM. Pelvic ring injuries: a challenge for the trauma surgeon. Acta Chir Belg. 1996;96(2):78-84.
Wilker DK, Izbicki JR, Euler E, Schweiberer L. Verletzungen des Beckens und der Retroperitonealorgane [Injuries of the pelvis and retroperitoneal organs]. Urologe A. 1991;30(3):183-188.
Phruetthiphat OA, Willey M, Karam MD, Gao Y, Westerlind BO, Marsh JL. Comparison of Outcomes and Complications of Isolated Acetabular Fractures and Acetabular Fractures With Associated Injuries. J Orthop Trauma. 2017;31(1):31-36. DOI: https://doi.org/10.1097/BOT.0000000000000720
Gribnau AJ, van Hensbroek PB, Haverlag R, Ponsen KJ, Been HD, Goslings JC. U-shaped sacral fractures: surgical treatment and quality of life. Injury. 2009;40(10):1040-1048. DOI: https://doi.org/10.1016/j.injury.2008.11.027
Coccolini F, Stahel PF, Montori G, et al. Pelvis fractures: WSES classification and guidelines. World J Emerg Surg. 2017;12:5. DOI: https://doi.org/10.1186/s13017-017-0117-6
Cai L, Lou Y, Guo X, Wang J. Surgical treatment of unstable pelvic fractures with concomitant acetabular fractures. Int Orthop. 2017;41(9):1803-1811. DOI: https://doi.org/10.1007/s00264-017-3532-0
Ruesch PD, Holdener H, Ciaramitaro M, Mast JW. A prospective study of surgically treated acetabular fractures. Clin OrthopRelat Res. 1994;(305):38-46. DOI: https://doi.org/10.1097/00003086-199408000-00006
Meys G, Kalmet PHS, Sanduleanu S, et al. A protocol for permissive weight-bearing during allied health therapy in surgically treated fractures of the pelvis and lower extremities. J Rehabil Med. 2019;51(4):290-297.
Raman R, Senior C, Segura P, Giannoudis PV. Management of scrotal swelling after pelvic and acetabular fractures. Br J Nurs. 2004;13(8):458-461. DOI: https://doi.org/10.12968/bjon.2004.13.8.12782
Pohlemann T, Tscherne H, Baumgärtel F, et al. Beckenverletzungen: Epidemiologie, Therapie und Langzeitverlauf. Ubersichtüber die multizentrischeStudie der ArbeitsgruppeBecken [Pelvic fractures: epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvis Study Group]. Unfallchirurg. 1996;99(3):160-167.
Čižmář I, Vlček M, Ehler E, Dráč P. Rekonstrukce paréz dolní končetiny po zlomeninách pánve svalovými transfery [Reconstruction of Lower Extremity Palsy after Pelvic Fractures with the Muscle Transfers]. Acta Chir Orthop Traumatol Cech. 2019;86(5):348-352.
Chiodo A. Neurologic injury associated with pelvis fractures: radiology and electrodiagnosis evaluation and their relationships to pain and gait outcome. Arch Phys Med Rehabil. 2007;88(9):1171-1176. DOI: https://doi.org/10.1016/j.apmr.2007.06.004
Cakmak A. Electrical stimulation of denervated muscles. Disabil Rehabil. 2004;26(7):432-433. DOI: https://doi.org/10.1080/09638280410001663157
Jang DH, Byun SH, Jeon JY, Lee SJ. The relationship between lumbosacral plexopathy and pelvic fractures. Am J Phys Med Rehabil. 2011;90(9):707-712. DOI: https://doi.org/10.1097/PHM.0b013e31821f6bd9
Fleiter N, Reimertz C, Lustenberger T, et al. Bedeutung der korrekten Positionierung eines Beckengurts zur temporären Stabilisierung von Beckenringverletzungen [Importance of the correct placement of the pelvic binder for stabilisation of haemodynamically compromised patients]. Z Orthop Unfall. 2012;150(6):627-629. DOI: https://doi.org/10.1055/s-0032-1327796
Hsu SD, Chen CJ, Chou YC, Wang SH, Chan DC. Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvis fractures: A Retrospective Cohort Study. Int J Environ Res Public Health. 2017;14(10):1217. DOI: https://doi.org/10.3390/ijerph14101217
Fu CY, Huang RY, Wang SY, et al. Concomitant external and internal hemorrhage: Challenges to managing patients with open pelvic fracture. Am J Emerg Med. 2018;36(11):1937-1942. DOI: https://doi.org/10.1016/j.ajem.2018.02.014
Yi C, Hak DJ. Traumatic spinopelvic dissociation or U-shaped sacral fracture: a review of the literature. Injury. 2012;43(4):402-408. DOI: https://doi.org/10.1016/j.injury.2010.12.011
Wong LC, Chiu WK, Russ M, Liew S. Review of techniques for monitoring the healing fracture of bones for implementation in an internally fixated pelvis. Med Eng Phys. 2012;34(2):140-152. DOI: https://doi.org/10.1016/j.medengphy.2011.08.011
Ruedi T. AO principles of fracture management. New York: Thieme; 2007.
Khan F, Amatya B, Hoffman K. Systematic review of multidisciplinary rehabilitation in patients with multiple trauma. Br J Surg. 2012;99 Suppl 1:88-96. DOI: https://doi.org/10.1002/bjs.7776
Meys G, Kalmet PHS, Sanduleanu S, et al. A protocol for permissive weight-bearing during allied health therapy in surgically treated fractures of the pelvis and lower extremities. J Rehabil Med. 2019;51(4):290-297. DOI: https://doi.org/10.2340/16501977-2532
Bergstrom N, Bennet MA, Carlson et al.: pressure ulcer treatment clinical practice guideline. Quick reference guide for clinicians, No 15, Rockville, MD, US Department of health and human service. Agency for health care policy and research. AHCPR publication No 95-0653. December 1994.
Szulc P. Impact of Bone Fracture on Muscle Strength and Physical Performance-Narrative Review. Curr Osteoporos Rep. 2020;18(6):633-645. DOI: https://doi.org/10.1007/s11914-020-00623-1
Rice LA, Ousley C, Sosnoff JJ. A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults. Disabil Rehabil. 2015;37(19):1697-705. DOI: https://doi.org/10.3109/09638288.2014.976718
Milner-Brown HS, Miller RG. Muscle strengthening through high-resistance weight training in patients with neuromuscular disorders. Arch Phys Med Rehabil. 1988;69(1):14-19.
Cup EH, Pieterse AJ, Ten Broek-Pastoor JM, et al. Exercise therapy and other types of physical therapy for patients with neuromuscular diseases: a systematic review Arch Phys Med Rehabil 2007;88:1452-64 DOI: https://doi.org/10.1016/j.apmr.2007.07.024
AO Foundation. 2014. Available from: www.aofoundation.org
Schmal H, Hauschild O, Culemann U, et al. Identification of risk factors for neurological deficits in patients with pelvic fractures. Orthopedics. 2010;33(8):10.3928/01477447-20100625-13. DOI: https://doi.org/10.3928/01477447-20100625-13
Kaiser R. Chirurgická léčba poranění nervů dolních končetin [Surgical treatment of lower extremity peripheral nerve injuries]. Cas Lek Cesk. 2016;155(3):16-20.
Kim JW, Shon HC, Park JH. Injury of the obturator nerve in the modified Stoppa approach for acetabular fractures. Orthop Traumatol Surg Res. 2017;103(5):639-644. DOI: https://doi.org/10.1016/j.otsr.2017.03.005
Conway RR, Hubbell SL. Electromyographic abnormalities in neurologic injury associated with pelvic fracture: case reports and literature review. Arch Phys Med Rehabil. 1988;69(7):539-541
Studer P, Kosuge D, Rickman M, Solomon LB. Versatility of an Extended Posterior Approach for the Treatment of Acetabular Fractures With Reference to the Superior Gluteal Neurovascular Bundle. J Orthop Trauma. 2016;30(8):e289-e293. DOI: https://doi.org/10.1097/BOT.0000000000000545
Bogdan Y, Tornetta P 3rd, Jones C, et al. Neurologic Injury in Operatively Treated Acetabular Fractures. J Orthop Trauma. 2015;29(10):475-478. DOI: https://doi.org/10.1097/BOT.0000000000000362
Beaulé PE, Antoniades J, Matta JM. Trans-sacral fixation for failed posterior fixation of the pelvic ring. Arch Orthop Trauma Surg. 2006;126(1):49-52. DOI: https://doi.org/10.1007/s00402-005-0069-2
Lehmann W, Hoffmann M, Fensky F, et al. What is the frequency of nerve injuries associated with acetabular fractures?. Clin Orthop Relat Res. 2014;472(11):3395-3403. DOI: https://doi.org/10.1007/s11999-014-3838-9
Lao A, Putman S, Soenen M, Migaud H. The ilio-inguinal approach for recent acetabular fractures: ultrasound evaluation of the ilio-psoas muscle and complications in 24 consecutive patients. Orthop Traumatol Surg Res. 2014;100(4):375-378. doi:10.1016/j.otsr.2014.02.006 DOI: https://doi.org/10.1016/j.otsr.2014.02.006
Mirovsky Y, Neuwirth M. Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine (Phila Pa 1976). 2000;25(10):1266-1269. DOI: https://doi.org/10.1097/00007632-200005150-00011
Quan RF, Yang DS, Wang YJ. Study of the morphology and biomechanics of sacral fracture. Chin J Traumatol. 2006;9(5):259-265.
Kimura J. Electrodiagnosis in diseases of nerve and muscles: principles and practice. Oxoford University Press. 2001.
Kim DH, Murovic JA, Tiel RL, Kline DG. Intrapelvic and thigh-level femoral nerve lesions: management and outcomes in 119 surgically treated cases. J Neurosurg. 2004;100(6):989-996. DOI: https://doi.org/10.3171/jns.2004.100.6.0989
Parizotto NA. Is electrical stimulation a consolidated treatment for denervated muscles and functional recovery after nerve injuries?. Muscle Nerve. 2011;43(2):299-300. DOI: https://doi.org/10.1002/mus.21833
Kern H, Salmons S, Mayr W, Rossini K, Carraro U. Recovery of long-term denervated human muscles induced by electrical stimulation. Muscle Nerve. 2005;31(1):98–101. DOI: https://doi.org/10.1002/mus.20149
Pieber K, Herceg M, Paternostro-Sluga T, Schuhfried O. Optimizing stimulation parameters in functional electrical stimulation of denervated muscles: a cross-sectional study. J Neuroeng Rehabil. 2015;12:51. DOI: https://doi.org/10.1186/s12984-015-0046-0
Džupa V, Otčenášek M, Vránová J, Ducháč V, Grill R, Báča V. Mikční, sexuální a defekační problémy u žen v aktivním věku po zlomenině pánve: srovnávací studie [Micturition, sexual and defecation disorders in middle-aged women after pelvic fractures. A comparative study]. Acta Chir Orthop Traumatol Cech. 2012;79(3):263-268.
Odutola AA, Sabri O, Halliday R, Chesser TJ, Ward AJ. High rates of sexual and urinary dysfunction after surgically treated displaced pelvic ring injuries. Clin Orthop Relat Res. 2012;470(8):2173-2184. DOI: https://doi.org/10.1007/s11999-012-2257-z
Aşci R, Sarikaya S, Büyükalpelli R, Saylik A, Yilmaz AF, Yildiz S. Voiding and sexual dysfunctions after pelvic fracture urethral injuries treated with either initial cystostomy and delayed urethroplasty or immediate primary urethral realignment. Scand J Urol Nephrol. 1999;33(4):228-233. DOI: https://doi.org/10.1080/003655999750015826
Neymark AI, Voytenko AN, Bondarenko AV, Muzalevskaya NI, Kruglykhin IV. Urologiia. 2015;(5):38-42.
Umphred DA (ed): Neurological Rehabilitation, 3rd ed. St Louis, Mosby, 1995
Fantl JA, Newman DK, Colling J, et al. Managing acute and chronic urinary incontinence. U.S. Department of Health and human services. J Am Acad Nurse Pract. 1996;8(8):390-403. DOI: https://doi.org/10.1111/j.1745-7599.1996.tb00681.x
White CE, Hsu JR, Holcomb JB. Haemodynamically unstable pelvic fractures. Injury. 2009;40(10):1023-1030. DOI: https://doi.org/10.1016/j.injury.2008.11.023
Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ. 1999;318(7182):487-493. DOI: https://doi.org/10.1136/bmj.318.7182.487
Weems WL. Management of genitourinary injuries in patients with pelvic fractures. Ann Surg. 1979;189(6):717-723. DOI: https://doi.org/10.1097/00000658-197906000-00007
Hurt AV, Ochsner JL, Schiller WR. Prolonged ileus after severe pelvic fracture. Am J Surg. 1983;146(6):755-757. DOI: https://doi.org/10.1016/0002-9610(83)90334-3
Ashai F, Mam MK, Iqbal S. Ileal entrapment as a complication of fractured pelvis. J Trauma. 1988;28(4):551-552. DOI: https://doi.org/10.1097/00005373-198804000-00026
Haj M, Griemberg B, Alkalay I, Stamler B. Large bowel herniation through a central fracture of iliac bone. Isr J Med Sci. 1982;18(2):281-283.
El-Assmy A, Harraz AM, Benhassan M, Nabeeh A, Ibrahiem el H. Erectile function after anastomotic urethroplasty for pelvic fracture urethral injuries. Int J Impot Res. 2016;28(4):139-142. DOI: https://doi.org/10.1038/ijir.2016.18
Ceylan HH, Kuyucu E, Erdem R, et al. Does pelvic injury trigger erectile dysfunction in men?. Chin J Traumatol. 2015;18(4):229-231. DOI: https://doi.org/10.1016/j.cjtee.2015.04.004
Koraitim MM. Predictors of erectile dysfunction post pelvic fracture urethral injuries: a multivariate analysis. Urology. 2013;81(5):1081-1085. doi:10.1016/j.urology.2012.12.040 DOI: https://doi.org/10.1016/j.urology.2012.12.040
Mark SD, Keane TE, Vandemark RM, Webster GD. Impotence following pelvic fracture urethral injury: incidence, aetiology and management. Br J Urol. 1995;75(1):62-64. DOI: https://doi.org/10.1111/j.1464-410X.1995.tb07234.x
Matthews LA, Herbener TE, Seftel AD. Impotence associated with blunt pelvic and perineal trauma: penile revascularization as a treatment option. Semin Urol. 1995;13(1):66-72.
Peng J, Zhang Z, Gao B, et al. Effect of daily sildenafil on patients with absent nocturnal erections due to pelvic fracture urethral disruption: a single-centre experience. Andrologia. 2016;48(10):1120-1124. DOI: https://doi.org/10.1111/and.12548
Wang CJ, Lu YM, Li CC, Wu WJ, Chien TM. Low-intensity shock wave therapy ameliorates erectile dysfunction in men with pelvic fractures associated with urethral injury. Int J Impot Res. 2019;31(3):218-222. DOI: https://doi.org/10.1038/s41443-018-0094-7
Sangkum P, Levy J, Yafi FA, Hellstrom WJ. Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes. Andrology. 2015;3(3):443-449. DOI: https://doi.org/10.1111/andr.12015
Shenfeld OZ, Kiselgorf D, Gofrit ON, et al. The incidence and causes of erectile dysfunction after pelvic fractures associated with posterior urethral disruption. J Urol. 2003;169(6):2173-2176. DOI: https://doi.org/10.1097/01.ju.0000067660.51231.05
Johnsen NV, Kaufman MR, Dmochowski RR, Milam DF. Erectile Dysfunction Following Pelvic Fracture Urethral Injury. Sex Med Rev. 2018;6(1):114-123. doi:10.1016/j.sxmr.2017.06.004 DOI: https://doi.org/10.1016/j.sxmr.2017.06.004
Tang YX, Jiang XZ, Tan J, Huang K, Tang J. Zhong Nan Da XueXue Bao Yi Xue Ban. 2004;29(4):478-493.
da Silva Gaspar SR, Ferreira ND, Oliveira T, Oliveira P, Dias JS, Lopes TM. Magnetic Resonance Imaging and Pelvic Fracture Urethral Injuries. Urology. 2017;110:9-15. DOI: https://doi.org/10.1016/j.urology.2017.06.041
Machtens S, Gänsslen A, Pohlemann T, Stief CG. Erectile dysfunction in relation to traumatic pelvic injuries or pelvic fractures. BJU Int. 2001;87(5):441-448. DOI: https://doi.org/10.1046/j.1464-410x.2001.02147.x
Nieto-Esquivel A, Delgado-Balderas R, Robles-Torres JI, Gómez-Guerra LS. Uso de tadalafilo en la rehabilitación de pacientes con antecedente de lesión de uretra posterior en el contexto de fractura pélvica [Use of tadalafil in the rehabilitation of patients with a history of posterior urethral injury in the context of pelvic fracture]. Rev Int Androl. 2018;16(1):15-19. DOI: https://doi.org/10.1016/j.androl.2017.02.004
Tang YX, Gan Y, Zhang XB, et al. Zhonghua Nan KeXue. 2013;19(6):539-541.
Peng J, Yuan YM, Zhang ZC, et al. Zhonghua Nan KeXue. 2013;19(5):443-445.
Xin Z, Lin G, Lei H, Lue TF, Guo Y. Clinical applications of low-intensity pulsed ultrasound and its potential role in urology. Transl Androl Urol. 2016;5(2):255-266. doi:10.21037/tau.2016.02.04 DOI: https://doi.org/10.21037/tau.2016.02.04
Chung PH, Gehring C, Firoozabadi R, Voelzke BB. Risk Stratification for Erectile Dysfunction After Pelvic Fracture Urethral Injuries. Urology. 2018;115:174-178. DOI: https://doi.org/10.1016/j.urology.2018.01.035
Li P, Zhou D, Fu B, Song W, Dong J. Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases. BMC Musculoskelet Disord. 2019;20(1):466. DOI: https://doi.org/10.1186/s12891-019-2839-y
Aggarwal A, Pandey S, Singh V, Sinha RJ. Post-traumatic bony impingement into vagina: a rare cause of urethrovaginal fistula. BMJ Case Rep. 2018;2018:bcr2018226004. DOI: https://doi.org/10.1136/bcr-2018-226004
Goswami D, Kochhar PK, Suri T, Zutshi V, Batra S. Obstetric and gynecological outcome in a patient with traumatic pelvic fracture and perineal injuries. J Obstet Gynaecol Res. 2012;38(8):1118-1123. DOI: https://doi.org/10.1111/j.1447-0756.2011.01838.x
Nambiar M, Heaton SR, Stevenson AJ, Bucknill AT. Prominent metalware from pelvic surgery causing dyspareunia. BMJ Case Rep. 2017;2017:bcr2016217285. doi:10.1136/bcr-2016-217285. DOI: https://doi.org/10.1136/bcr-2016-217285
Podestá ML, Jordan GH. Pelvic fracture urethral injuries in girls. J Urol. 2001;165(5):1660-1665. DOI: https://doi.org/10.1016/S0022-5347(05)66386-0
Mevel O, Tahan H, Michel F. Rupture de l'urèthre féminin au cours des fractures du bassin: à propos de deux observations [Rupture of the female urethra in pelvic fractures: report of 2 cases]. Prog Urol. 2000;10(6):1212-1216.

How to Cite

Piccione, F. ., Maccarone, M. C., Cortese, A. M., Rocca, G., Sansubrino, U. ., Piran, G., & Masiero, S. (2021). Rehabilitative management of pelvic fractures: a literature-based update. European Journal of Translational Myology, 31(3). https://doi.org/10.4081/ejtm.2021.9933

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