What Tile classification is associated with life-threatening hemorrhage?

Tile C (vertically unstable, complete posterior ring disruption): associated with 3-5 L blood loss and hemorrhagic shock in 10-30% of cases. TPOD (pelvic orthotic device/binder) is immediate stabilization. Angioembolization or preperitoneal packing for hemorrhage control.

What is the mortality of unstable pelvic fractures?

Tile B-C pelvic fractures with hemodynamic instability: mortality 15-25% from hemorrhage, ARDS, and sepsis. REBOA (resuscitative endovascular balloon occlusion) for refractory hemorrhage as bridge to definitive management.

When is pelvic fixation performed in polytrauma?

Temporary external fixation (pelvic frame or C-clamp) for unstable pelvic fractures to reduce volume and tamponade bleeding. Definitive ORIF with iliosacral screws or posterior plate typically at 3-5 days when patient is physiologically stable.

Tile/AO Classification for Pelvic Ring Fractures

Apply Tile/AO classification (Type A, B, C) for pelvic ring fractures based on stability: A = stable, B = rotationally unstable, C = rotationally and vertically unstable. Guides resuscitation priority, angioembolization, and surgical fixation.

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Tile/AO Classification for Pelvic Ring Fractures

Frequently Asked Questions

What Tile classification is associated with life-threatening hemorrhage?

What is the mortality of unstable pelvic fractures?

When is pelvic fixation performed in polytrauma?