[Strategy of the interdisciplinary early intervention in unstable pelvic injuries and concomitant urogenital lesions].

Among our polytrauma patients, 36.3% suffered combination injuries of the pelvic ring and the urogenital tract, and 8 of the patients with this type of lesion underwent orthopedic and urological surgery in a single session on the day of the accident. One patient died of multiple organ failure, but otherwise we did not observe any complications; in particular, no infections occurred. By an average of 11 months after the operation, all patients were continent for urine and had normal urethrocystograms. In 3 cases the pelvic ring lesion was treated by plate fixation and in a further 3 cases by plate fixation with additional temporary external fixation. Definitive stabilization was achieved in all cases by an average of 2 weeks postoperatively.