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Surgical Wound Complications after Percutaneous Posterior Pelvic Ring Fixation in Patients who Undergo Pelvic Arterial Embolization.

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 out-weigh the benefits.


DESIGN
Retrospective cohort study SETTING:: Academic level 1 trauma center PATIENTS:: 201 consecutive patients who underwent percutaneous posterior pelvic fixation at our institution were included in this study. Of these, 27 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, zero patients 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. While even selective pelvic arterial embolization is not entirely benign, there appears to be minimal risk of wound complications when percutaneous posterior pelvic ring fixation is performed.


LEVEL OF EVIDENCE
Level III Therapeutic. See Instructions for Authors for a complete description of levels of evidence.