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The m.c.cause of death with maijor pelvic fracture is:
1.Uretrel injury
2.Fat embol
3.Hemorrhagage
4.Pulm.embol
5.Rectal- pain shock
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2. Same for Femoral fructure.
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3/hemorag
Direct operative attempt to control bleedeng by exploring the retroperitoneal hematoma in thise patients are friquently ass. with operative DEATH by exsanguination,Consequently the modalities of external pelvic fixation and angiographic embolization were developed to avoid openng the pelvic hematoma.
UNFORTUNATLY ,severe soft tisue disruption can cause spontaneous rupture of the hematoma with catastrophic result