{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:25:41Z","timestamp":1787840741491,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Open pelvic fractures are rare but present a significant challenge for trauma surgeons. High mortality rates are frequently associated with hemorrhage during the acute phase, while delayed mortality is typically due to sepsis and multiple organ failure. Effective management of these patients requires a complex, multidisciplinary approach. We report the management of an open pelvic fracture with severe soft tissue injury in a polytrauma patient. The patient sustained multiple injuries, including traumatic brain injury, closed thoracic lesion, and a type C2 open pelvic fracture with extensive soft tissue detachment (Morel-Lavall\u00e9e lesion). Treatment involved emergency resuscitation, stabilization of the unstable pelvic fracture with an external fixator, meticulous wound care, and appropriate antimicrobial therapy. This comprehensive approach resulted in the avoidance of major complications and a favorable clinical outcome.<\/jats:p>","DOI":"10.4103\/jets.jets_147_24","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T04:00:18Z","timestamp":1773979218000},"page":"40-42","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Complex Management of Severe Open Pelvic Fracture in a Polytrauma Patient"],"prefix":"10.4103","volume":"19","author":[{"given":"Anna","family":"Kusturova","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology,Nicolae TestemitanuState University of Medicine and Pharmacy, Chisinau, Republic of Moldova"},{"name":"Laboratory of Polytrauma, Chisinau, Republic of Moldova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Kusturov","sequence":"additional","affiliation":[{"name":"Laboratory of Hepato-Pancreato-Biliary Surgery,Nicolae TestemitanuState University of Medicine and Pharmacy, Chisinau, Republic of Moldova"},{"name":"Section of Septic Surgery, Institute of Emergency Medicine, Chisinau, Republic of Moldova"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"R1-20260416","doi-asserted-by":"crossref","first-page":"802","DOI":"10.31729\/jnma.5270","article-title":"Open pelvic fracture with rectal laceration: A case report","volume":"59","author":"Bhattachan","year":"2021","journal-title":"J Nepal Med Assoc"},{"key":"R2-20260416","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s00590-022-03234-x","article-title":"Three-year functional outcome after open pelvic fracture treatment: A retrospective case series from a level I trauma center","volume":"33","author":"Yu","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"R3-20260416","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/S0030-5898(05)70293-5","article-title":"Open pelvic fractures. 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