OTA-AAST Pelvic Fx Symposium 2000

Case Selection

Cases with images:

Possible Cases

AP COMPRESSION 3 or VERTICAL SHEAR - 36 Cases - (from VUMC for consideration)

AP COMPRESSION 3

VERTICAL SHEAR INJURY

PELVIC ANATOMY

  • APC 1 - Rupture of anterior SI ligs, attenuation of sacrospinous and sacrotuberous ligs.
  • APC 2 - Rupture of sacrospinous and sacrotuberous ligs.
  • APC 3 - Rupture of posterior SI ligs
  • Rupture of anterior SI, posterior SI,sacrospinous, sacrotuberous ligs
  • Injured hemipelvis cephalad, posterior & externally rotated.
  •  adapted from Fig 35-6; Kellam JF, Browner BD; Chapt 35, p 1121; SKELETAL TRAUMA 2nd Ed (eds Browner BD, Jupiter JB, Levine AM, Trafton PG); WB Saunders, Philadelphia 1998

Case 1

56 WM

Jf/mm

R Tibia/fibula Fxs, Knee Acl &mcl Def.
Pelvis Fx - Open Book
L Popliteal Embolus
 
E812 Auto Vs Auto Accident
808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
808.41 Lt Iliac Fx
848.5 Pubic Symphysis Diastasis
844.1 Rt Knee Ant 1/3 Deep Mcl Injury
844.1 Rt Knee Mid 1/3 Deep Mcl Injury
844.2 Rt Knee Anterior Cruciate Injury
956.3 Rt Common Peroneal Nerve Injury

S/p Mva, Auto Vs Auto, Driver, Unbelted,

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears B3 (lt Post Iliac Fx Assoc Lt Si Joint Fx/dislocation, Letournel B1, Pubic Diastasis, Letournel D, 2 Cm,

Rt Knee Internal Derangement, Complete Tibial Anterior 1/3 Deep Mcl Injury, Complete Tibial Mid 1/3 Deep Mcl Injury, Complete Midsubstance Anterior Cruciate Injury,

Rt Lower Leg Soft Tissue Injury, Common Peroneal Nerve Contusion,

Cl Fx Disrupt Pelv Circ, 10/14/97, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
, 10/14/97, , Icd
Fx Upper End Tibia-clsd, 10/14/97, Closed Fracture Of Upper End Of Tibia, Icd 823.00
Fx Medial Malleolus-clsd, 10/14/97, Fracture Of Medial Malleolus, Closed, Icd 824.0
Inj Superf Femoral Art, 10/14/97, Injury To Superficial Femoral Artery, Icd 904.1
Fx Lumbar Vertebra-clsd, 10/14/97, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
3rd Deg Burn Forearm, 10/14/97, Full-thickness Skin Loss Due To Burn (third Degree Nos) Of Forearm, Icd 943.31
Bdy Burn <10%/3 Deg <10%, 10/14/97, Burn (any Degree) Involving Less Than 10 Percent Of Body Surface With Third Degree Burn Of Less Than 10 Percent Or Unspecified Amount, Icd 948.00
Sprain Cruciate Lig Knee, 10/14/97, Sprain Of Cruciate Ligament Of Knee, Icd 844.2
Sprain Mcl Knee, 10/14/97, Sprain Of Medial Collateral Ligament Of Knee, Icd 844.1
Fx Facial Bone Nec-clsd, 10/14/97, Other Facial Bones Closed Fracture, Icd 802.8
Cl Base Fx S Inj - S Loc, 10/14/97, Closed Fracture Of Base Of Skull Without Mention Of Intracranial Injury, With No Loss Of Consciousness, Icd 801.01
Lung Contusion-closed, 10/14/97, Contusion Of Lung Without Open Wound Into Thorax, Icd 861.21
Open Wound Of Lip, 10/14/97, Open Wound Of Lip, Uncomplicated, Icd 873.43
Lac Eyelid/perioc Skn, 10/14/97, Laceration Of Skin Of Eyelid And Periocular Area, Icd 870.0
Fx Phalanx, Foot-closed, 10/14/97, Closed Fracture Of One Or More Phalanges Of Foot, Icd 826.0
Posttraum Wnd Infect Nec, 10/14/97, Posttraumatic Wound Infection Not Elsewhere Classified, Icd 958.3
Ac Posthemor Anemia, 10/14/97, Acute Posthemorrhagic Anemia, Icd 285.1

3 Pelvis/exts

Limbird To Repair/recon.

Or Data From 10/15/1997 - Case 179971, 78.306 Application Of External Fixator - Ao Large, Anestimes 07:4912:4807:49, Surgtimes 06:0607:3508:3812:45, General Wedisoflurane, Synthes 294.67 Screw, Synthes 393.52 Carbon Rods, Synthes 393.55 Carbon Rods, Synthes 393.66 Transverse Clamps, Synthes 393.56 Carbon Rods, Synthes 393.64 Adjustable Clamp, Synthes 293.52 Pins, Synthes 219.99 Washer, Synthes 292.68 Guide Wire, Synthes 209.905 Cannulated Screw, Synthes 393.63 C Clamps

Or Data From 10/24/1997 - Case 180533, 772 Excision And Grafting Of Burns, Anestimes 08:1809:3408:18, Surgtimes 07:2407:5808:5609:34, General Friforane, No Implant Data

10/14/97 Tc 79.19 Closed Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
10/14/97 Tc 78.19 Application Of External Fixation Device, Other, Tp 2
10/14/97 Tc 38.08 Incision Of Lower Limb Arteries, Tp 3
10/14/97 Tc 81.45 Other Repair Of The Cruciate Ligaments, Tp 4
10/14/97 Tc 81.46 Other Repair Of The Collateral Ligaments, Tp 5
10/14/97 Tc 86.62 Other Skin Graft To Hand, Tp 6
10/14/97 Tc 86.69 Other Skin Graft To Other Sites, Tp 7
10/14/97 Tc 86.22 Excisional Debridement Of Wound, Infection, Or Burn, Tp 8
10/14/97 Tc 88.48 Arteriography Of Femoral And Other Lower Extremity Arteries, Tp 9

10/14/97 TRACS Registry Data:

Injury Data: E Code 812.0, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 10/14/97, Accident Position - Driver, EMS Transport - Helicopter

ER Data: Arrival 09:48 10/14/97, S/P MVC, Alert, VS - R22 P96 BP106, GCS 15, EtOH 0, Base Deficit -9, Hct 35, Head CT - Negative, Abd CT - Negative, ISS 27, ISS 27

Discharge Data: DC Date 11/01/97, Hosp Days 18, ICU Days 0, Vent Days 0, Disposition - SNF, Hospital Charges $62045, Insurance - Commercial

10/14/97 - 10/29/97 - Hospitalization (15 hospital days) JF/MM

4/13/98 808.43 Major pelvic ring disruption - Pain Index: Moderate pain, affects ADL, requires occasional stronger (prescription) analgesics; ADL's : Able to walk with limp 100 feet, dress, enter/exit auto; ROM: hflex = 120°; Motor : hip flex grade 5, hip ext grade 5, hip abd grade 5, hip add grade 5; Xray : normal joint space, no angulation or deformity; xray fx status = united; PT = work-hardening, muscle-building, AAROM, afo R foot-drop; Amb status = fwb.

Disp: RTC 3 month(s); Work status = light duty.

04/19/1999 - Lt hip evaluation :

Pain Index: Slight pain, occasional use of nonprescription analgesics

Pain Visual Analog: 2

ADL's : Able to walk with cane, 1 mile, cane full-time, mild ambulation difficulty on uneven ground, climb 1 flight of stairs, with bannister, descend stairs, lift up to 40 pounds , bathes unaided, dresses unaided, socks & shoes with ease, enter/exit auto with ease, able to drive, house/yard work, shop, sleep comfortably, sit comfortably - any chair for 1 hr

Clinical Exam :

Leg length discrepancy : none
Gait - Normal foot progression angle, - trendelenberg sign, + trendelenberg lurch
Lt single limb stance - 5 seconds
Trunk flexion : 90°
Lt hip ROM :
no flexion contracture
90° flexion
30° adduction
40° abduction
10° external rotation
30° internal rotation

Lt Hip Evaluation residual deformity : Good cosmetic results, no evident angulation, no evident rotation, no incongruity, no atrophy, no shortening

Lt Hip Joint xrays : normal joint space, no angulation or deformity

HCMC Score (Gustilo, The Fracture Classification Manual, p 153) : 82
Harris Hip Score (JBJS 51A 737): 82
Mayo Clinical Hip Score (CORR 193 133): 72
Iowa Hip Score (CORR 31 451): 84
D'Aubigne-Postel Hip Score (JBJS 36A 451): 13
Modified D'Aubigne-Postel Hip Score (CORR 205 244): 12
Iowa Pelvic Score (CORR 329 181): 59
Majeed Pelvic Score (JBJS 71B 305): 73
Orlando Pelvic Score (CORR 329 178): 26

04/19/1999 - Lt hip evaluation :

Pain Index: Slight pain, occasional use of nonprescription analgesics

Pain Visual Analog: 2

ADL's : Able to walk with cane, 1 mile, cane full-time, mild ambulation difficulty on uneven ground, climb 1 flight of stairs, with bannister, descend stairs, lift up to 40 pounds , bathes unaided, dresses unaided, socks & shoes with ease, enter/exit auto with ease, able to drive, house/yard work, shop, sleep comfortably, sit comfortably - any chair for 1 hr

Clinical Exam :

Leg length discrepancy : none
Gait - Normal foot progression angle, - trendelenberg sign, + trendelenberg lurch
Lt single limb stance - 5 seconds
Trunk flexion : 90°

Lt hip ROM :

no flexion contracture
90° flexion
30° adduction
40° abduction
10° external rotation
30° internal rotation

Lt Hip Evaluation residual deformity : Good cosmetic results, no evident angulation, no evident rotation, no incongruity, no atrophy, no shortening

Lt Hip Joint xrays : normal joint space, no angulation or deformity

HCMC Score (Gustilo, The Fracture Classification Manual, p 153) : 82
Harris Hip Score (JBJS 51A 737): 82
Mayo Clinical Hip Score (CORR 193 133): 72
Iowa Hip Score (CORR 31 451): 84
D'Aubigne-Postel Hip Score (JBJS 36A 451): 13
Modified D'Aubigne-Postel Hip Score (CORR 205 244): 12
Iowa Pelvic Score (CORR 329 181): 59
Majeed Pelvic Score (JBJS 71B 305): 73
Orlando Pelvic Score (CORR 329 178): 26

Lt Sensory Deficit :

Lateral sural cutaneous nerve, Grade 2 - decreased sensibility
Saphenous nerve, Grade 2 - decreased sensibility
Superficial peroneal nerve, Grade 2 - decreased sensibility

Vascular status: Class 1 - no claudication, no rest pain, transient edema

AMA Impairment Ratings (AMA Guides 4th Ed) :
Gait : 20% whole person impairment
Amputation(s) : 0% Lt lower extremity impairment
Leg Length : 0% Lt lower extremity impairment
Joints : 15% Lt lower extremity impairment
Neurologic : 1% Lt lower extremity impairment
Atrophic : 0% Lt lower extremity impairment
Deformity : 0% Lt lower extremity impairment
Radiologic : 0% Lt lower extremity impairment

--------------

20% Lt Combined Lower Extremity Impairment

8% Lt Lower Limb portion of Whole Person Impairment

x Disp: RTC prn.

07/06/1999 - Rt lower extremity evaluation :

Rt Lower Extremity Muscle Weakness :
Ankle extension, Grade 4
Toe extension, Grade 4
Rt Sensory Deficit :
Deep peroneal nerve, Grade 3 - abnormal sensation
Superficial peroneal nerve, Grade 3 - decreased sensibility

AMA Impairment Ratings (AMA Guides 4th Ed) :

Gait : 0% whole person impairment
Amputation(s) : 0% Rt lower extremity impairment
Leg Length : 0% Rt lower extremity impairment
Joints : 0% Rt lower extremity impairment
Neurologic : 19% Rt lower extremity impairment
Atrophic : 0% Rt lower extremity impairment
Deformity : 0% Rt lower extremity impairment
Radiologic : 0% Rt lower extremity impairment

--------------

19% Rt Combined Lower Extremity Impairment
7.6% Rt Lower Limb portion of Whole Person Impairment

when i did mr miller's impairment rating exam in april i forgot to include the damage to his R common peroneal nerve. i have now included it. Disp: rtc prn

Case 2

09/22/1999

35 WF O

Txx:btd/kdj

R Subtalar Open Dx, R Open Femur Fx, Unstable R Hemipelvis

820.32 Rt Open Subtroch Femur Fx
838.11 Rt Open Subtalar Dislocation
845.19 Rt Open Subtalar Joint
808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
808.2 Lt Pubic Fx

Rt Prox 1/3 Femur Shaft Fx, 3 Intermediate Fragments, 8 Cm Shattered Segment, Hw4, M32c3.3, Gr3a Open, Light Contamination, Oi4,

Rt Lateral Subtalar Dislocation, Gr3a Open, Light Contamination, Open Subtalar Joint, Oi4,

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 (rt Comminuted Transforaminal Sacral Fx, Denis 2, Letournel C, Seattle 3, Lt Simple Pubic Ramus Fx, Letournel A1,

3 Pelvis/exts

9/3/99 I&d/imn R Femur, I&d/or Subtalar Jt, 9/22 Orif Pelvis

Or Data From 09/03/1999 - Case 225295, 75.350 Insertion Of Im Nail - Femur 75.350, Anestimes 08:4510:4308:14, Surgtimes 08:5010:38, General Fri, Zimmer N Pins 5/64, Smith And Nephew N Nail 12x30, Smith And Nephew N Screws 6.4, Smith And Nephew N Screws 6.4

Or Data From 09/22/1999 - Case 226569, 79.850 Orif Of Pelvis, Anestimes 12:4817:2512:48, Surgtimes 11:4212:0013:3717:12, General Wed, Synthes N Plate 14-hole, Synthes N Drill Bit 2.5, Synthes N Template , Synthes N Screw 14, Synthes N Screw 18, Synthes N Screw 20, Synthes N Screw 22, Zimmer N Stienman Pin 3/16, Synthes N Screw 24, Synthes N Screw 45, Synthes N Screw 26, Synthes N Screw 28, Synthes N Screw 30, Synthes N Screw 34, Synthes N Screw 40, Synthes N Screw 28, Synthes N Screw 30, Synthes N Screw 40, Synthes N Screw 80, Synthes N Guide Wire , Depuy N Saw Blade , Anspac N Cutting Wheel

Case 3

09/19/1999

70 WM T

Txx:cg/je

Pubic Symphysis/r Zone I/ii Sacral Fx

808.43 Major Pelvic Ring Disruption
848.5 Pubic Symphysis Diastasis
805.6 Sacral Fx

Major Pelvic Ring Disruption, Bilateral Ap Compression 3, Tile C2, Mears B3 (pubic Diastasis, Letournel D, 8 Cm, Central Simple L-shaped Sacral Fx, Denis 3, Letournel C, Seattle 6,

3 Pelvis/exts

9/20 Orif

Or Data From 09/20/1999 - Case 226341, 79.850 Orif Of Pelvis, Anestimes 14:0415:2814:04, Surgtimes 12:3014:0014:2515:24, General Mon, Synthes N Plate 4-hole, Synthes N Screw 30, Synthes N Drill Bit 3.2, Synthes N Screw 50, Synthes N Screw 60

Case 4

08/22/1999

20 WM G

Txx:cg/kdj

L Wi Midshaft Femur Fx, R Vert Shear Pelvis

820.22 Lt Subtroch Femur Fx
808.43 Major Pelvic Ring Disruption
831.040 Rt Ac Joint Dislocation

Lt Prox 1/3 Femur Shaft Fx, 3 Butterfly Fragments, Hw3, M32b3.1,

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1

Rt Type 3 Ac Separation,

3 Pelvis/exts

8/22 Imn L Femur, Non-op Pelvis, Nwb R Wbat L

Or Data From 08/22/1999 - Case 224319, 75.350 Insertion Of Im Nail - Femur 75.350, Anestimes 12:1113:4512:11, Surgtimes 12:3013:45, General Sun, Richards N Nail 12/42, Richards N Drill 4.8, Richards N Screw 6.4/70, Zimmer N Pin 5/64, Richards N Screw 6.4/40

Case 5

07/06/1999

38 WM G

Txx:cg/jre

R Zone I/ii Sacral Fx (sick), R Gii Open Med Malleolus, L Open Knee

824.1 Rt Open Medial Malleolus Fx
845.09 Rt Open Ankle Joint
808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis
891 Lt Knee Region Wound
844.9 Lt Open Knee Joint

Rt Ankle Injury - Lauge Hansen Pronation Eversion Stage 1, Medial Malleolus Fx, M43b1.2, Gr 2 Open, Light Contamination, Open Ankle Joint, Oi2,

Major Pelvic Ring Disruption, Associated Urethral Injury, Ap Compression 3, Tile C1, Mears B3 (rt Comminuted Transforaminal Sacral Fx, Assoc Rt Si Joint Fx, Denis 2, Letournel C, Seattle 3, Pubic Diastasis, Letournel D, 8 Cm,

Lt Knee Region Wound, 15 Cm, Light Contamination, Open Knee Joint,

3 Pelvis/exts

7/6 C-clamp, 7/7 I&d/orif R Ankle, I&d L Thigh, 7/9 Orif Symp.

Or Data From 07/07/1999 - Case 221107, 76.600 I&d Of Small Bone/extremity 76.600, Anestimes 16:3518:5216:35, Surgtimes 16:4818:50, General Wed, Synthes N Drill Bit 2.5, Synthes N Screw 45mm, Synthes N Screw 50mm

Or Data From 07/09/1999 - Case 221257, 129.46 Insertion Of Catheter - Suprapubic, Anestimes 08:4513:5008:45, Surgtimes 08:5713:40, General Fri, Synthes N Screw 60mm, Synthes N Screw 60mm, Synthes N Drill Bit 3.2, Synthes N Plate 4 Hole

Or Data From 07/10/1999 - Case 221274, 425 I&d Of Wound, Anestimes 11:4512:5511:45, Surgtimes 12:0512:47, General Sat, No Implant Data

Or Data From 07/12/1999 - Case 221390, 450.10 I&d Of Lower Extremity, Bilateral, Anestimes 10:3511:2510:35, Surgtimes 10:5011:24, General Mon, No Implant Data

Or Data From 07/14/1999 - Case 221630, 450.10 I&d Of Lower Extremity, Bilateral, Anestimes 15:0015:4715:00, Surgtimes 15:0715:47, General Wed, No Implant Data

Or Data From 07/16/1999 - Case 221824, 450.10 I&d Of Lower Extremity, Bilateral, Anestimes 11:2612:4211:26, Surgtimes 11:4112:42, General Fri, No Implant Data

Or Data From 07/19/1999 - Case 221942, 450.10 I&d Of Lower Extremity, Bilateral, Anestimes 10:2011:1510:20, Surgtimes 10:3011:10, General Mon, No Implant Data

Or Data From 07/21/1999 - Case 222130, 450.10 I&d Of Lower Extremity, Bilateral, Anestimes 12:0515:0411:40, Surgtimes 12:0515:04, General Wed, No Implant Data

Or Data From 07/23/1999 - Case 222388, 450.1 I&d Of Large Bone/extremity 450.1, Anestimes 13:0013:3312:20, Surgtimes 13:0013:33, General Fri, No Implant Data

Or Data From 07/26/1999 - Case 222496, 29.97 Graft, Split Thickness Skin To Lower Extremity, Anestimes 14:1217:4014:12, Surgtimes 14:5017:30, General Mon, No Implant Data

Or Data From 08/05/1999 - Case 223261, 85.97 Graft, Split Thickness Skin, Anestimes 08:4010:3708:40, Surgtimes 09:1010:30, General Thu, No Implant Data

Or Data From 08/24/1999 - Case 224534, 772 Excision And Grafting Of Burns, Anestimes 13:1015:3613:10, Surgtimes 12:2112:5513:3015:28, General Tue, No Implant Data

Or Data From 09/10/1999 - Case 225777, 84.11 Amputation Of Toe, Anestimes 10:3512:1510:35, Surgtimes 09:5010:2210:4012:15, General Fri, No Implant Data

Case 6

07/02/1999

47 WM

Txx:dm/jre

B Si Joint Injury

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
846.1 Rt Sacroiliac Joint Injury

Major Pelvic Ring Disruption, Bilateral Vertical Shear, Tile C2, Mears B2 (lt Si Joint Dislocation, Letournel E, Rt Si Joint Dislocation, Letournel E,

3 Pelvis/exts

7/7 Orif B Si Joints

Or Data From 07/07/1999 - Case 221105, 79.850 Orif Of Pelvis, Anestimes 07:5213:4207:52, Surgtimes 06:2107:4008:4113:38, General Wed, No Implant Data

Case 7

06/14/1999

75 WM

Txx:cg/kdj

Pelvic Ring Injury, Sick

808.43 Major Pelvic Ring Disruption
808.2 Lt Pubic Fx
846.1 Rt Sacroiliac Joint Injury

Major Pelvic Ring Disruption, Bilateral Ap Compression 3, Tile C2, Lt Comminuted Pubic Ramus Fx, Letournel A1, 50 Mm Dpl, Rt Si Joint Dislocation, Letournel E,

3 Pelvis/exts

C-clamp (removed 6/16), Non-op, Nwb L Le

Case 8

06/03/1999

28 BM

Txx:cm/kdj

Open Pelvic Fx, R Scapulothoracic Dissociation, Pus Pelvis

808.53 Major Open Pelvic Ring Disruption
810.02 Rt Clavicle Fracture
831.09 Rt Scapulothoracic Dislocation
811.09 Rt Scapular Body Fx

Major Open Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears B3 (mears C1 (

Rt Mid 1/3 Clavicle Fx, (hw1),

Rt Scapulothoracic Dissocation, Transverse Scapular Body Fx

3 Pelvis/exts

6/04 C-clamp, Colost, 6/9 I&d Symph+urethra Repair. 6/17 Ex-fix

Or Data From 06/17/1999 - Case 219777, 451 I&d Of Abscess, Anestimes 11:3613:3511:36, Surgtimes 11:5113:26, General Thu, Synthes N Double Adj. Clamp , Synthes N Steinman Pin 4.5 X 180, Synthes N Single Clamp , Synthes N Carbon Rod 100mm, Synthes N Drill Bit 4.5, Synthes N Carbon Rod 250mm, Synthes N Drill Bit 3.5

Or Data From 07/03/1999 - Case 220871, No Procedure Code/name, Anestimes , Surgtimes , Sat, No Implant Data

Initial AP
Initial AP
Initial AP
C-Clamp Application
Ex-Fix Conversion
6 month FU

Case 9

03/22/1999

99 HM

Txx:cg/dwl

Apc Pelvic Injury+ Rt Si Dislocation, R Tab Fx

808.53 Major Open Pelvic Ring Disruption
808.10 Anterior Open Wall Acetabular Fx
843.9 Rt Open Hip Joint

Major Open Pelvic Ring Disruption, Ap Compression 3, Tile C3, Comminuted Anterior Wall Acetabular Fx, Articular Impaction, Articular Surface Boneloss, Gr3a Open, Light Contamination, Rt Open Hip Joint, Oi4,

3 Pelvis/exts

3/22, Ex Fix Pelvis, 3/24 R Hip Disartic, 4/6 R Hemipelvectomy

Or Data From 03/22/1999 - Case 213822, No Procedure Code/name, Anestimes 14:4019:0814:40, Surgtimes 15:0219:08, General Mon, Synthes N Drill Bit, Synthes N Schanz Screws, Synthes N Single Clamp, Synthes N Carbon Rods, W.l.gore N Vascular Graft, Synthes N Carbon Rods, Synthes N Tube To Tube

Or Data From 03/24/1999 - Case 214002, 84.18 Disarticulation Of Hip, Anestimes 08:2913:3808:29, Surgtimes 09:2813:40, General Wed, Ethicon N Vicryl Mesh, Synhtes N Carbon Rod, Genzym N Sepra Film, Ethicon N Vicryl Mesh

Or Data From 03/26/1999 - Case 214178, 80.851 I&d Of Hip/pelvis 80.851, Anestimes 08:3110:0108:31, Surgtimes 08:5009:58, General Fri, No Implant Data

Or Data From 04/06/1999 - Case 214889, 80.851 I&d Of Hip/pelvis 80.851, Anestimes 17:1518:3217:15, Surgtimes 17:3618:30, General Tue, No Implant Data

Case 10

09/06/1998

39 WF

Txx:gh/jre

L Sup/inf Rami Fx

L Ileum Fx With Si Diastasis

808.43 Major Pelvic Ring Disruption
808.2 Lt Pubic Fx
846.1 Lt Sacroiliac Joint Injury
808.41 Lt Iliac Fx
823.21 Rt Fibula Shaft Fx
825.2544 Lt 4th Metatarsal Head/neck Fx
825.2554 Lt 5th Metatarsal Head/neck Fx
824.0 Lt Medial Malleolus Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C2 (1.5 Cm Posterior Linear Dpl), Lt Simple Pubic Ramus Fx, Letournel A1, Lt Avulsion Iliac Fx, Lt Post Iliac Fx Involving Lt Si Joint, Letournel B1, 1.5 Cm Lt Post Pelvic Dpl,

Rt Prox 1/4 Fibula Shaft Fx, Hw1, Floc 1,

Lt 4th Metatarsal Head/neck Extra-articular Fx, Transverse,

Lt 5th Metatarsal Head/neck Extra-articular Fx, Transverse,

Lt Ankle Injury - Lauge Hansen Pronation Eversion Stage 1, Medial Malleolus Fx, M43b1.2,

Fracture Of Pubis-closed, 09/06/1998, Closed Fracture Of Pubis, Icd 808.2
Fracture Of Ilium-closed, 09/06/1998, Closed Fracture Of Ilium, Icd 808.41
Fx Sacrum/coccyx-closed, 09/06/1998, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx Metatarsal-closed, 09/06/1998, Fracture Of Metatarsal Bone(s), Closed, Icd 825.25
Fx Upper End Fibula-clsd, 09/06/1998, Closed Fracture Of Upper End Of Fibula, Icd 823.01
Fx Medial Malleolus-clsd, 09/06/1998, Fracture Of Medial Malleolus, Closed, Icd 824.0
Concussion Nos, 09/06/1998, Concussion, Unspecified, Icd 850.9
Fracture Two Ribs-closed, 09/06/1998, Closed Fracture Of Two Ribs, Icd 807.02
Open Wound Of Lip, 09/06/1998, Open Wound Of Lip, Uncomplicated, Icd 873.43
Traumatic Shock, 09/06/1998, Traumatic Shock, Icd 958.4
Ac Posthemor Anemia, 09/06/1998, Acute Posthemorrhagic Anemia, Icd 285.1

3 Pelvis/exts

Femoral Traction Pin 9/6

Plan Orif Pelvis 9/9

Or Data From 09/09/1998 - Case 200896, 79.850 Orif Of Pelvis, Anestimes 12:1714:4712:17, Surgtimes 11:1511:3512:4814:40, General Wedisoflurane, Synthes 310.29 Drill Bit, Synthes 310.30 Drill Bit, Synthes 224.02 Dcp Plate, Synthes 218.045 Screws, Zimmer 187-02-59 Steinman Pin, Synthes 218.055 Screws, Synthes 218.060 Screws

09/06/1998 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
09/06/1998 Tc 38.93 Venous Catheterization, Not Elsewhere Classified, Tp 2
09/06/1998 Tc 93.44 Other Skeletal Traction, Tp 3
09/06/1998 Tc 27.51 Suture Of Laceration Of Lip, Tp 4

09/06/1998 TRACS Registry Data:

Injury Data: E Code 812.3, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 09/06/1998 07:45, Accident Position - Mtrcycl Passngr, EMS Transport - Helicopter

ER Data: Arrival 09:30 09/06/1998, S/P Mtrcycle Crash, Alert, VS - R21 P60 BP107, GCS 15, EtOH 0, Hct 34, Head CT - Negative, Abd CT - Negative, ISS 17, ISS 17

Discharge Data: DC Date 09/11/1998, Hosp Days 5, ICU Days 1, Vent Days 0, Disposition - STALLWORTH, Hospital Charges $30539, Insurance - HMO

09/06/98 - 9/12/98 - Hospitalization (6 hospital days) TXX:GH/JRE

Case 11

05/03/1998

18 WF

T:msl/pw

Vertically Unstable Pelvis Fx R

808.43 Major Pelvic Ring Disruption
846.1 Rt Sacroiliac Joint Injury
808.41 Rt Iliac Fx
808.2 Rt Pubic Fx
808.2 Lt Pubic Fx

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Rt Post Iliac Fx Assoc Rt Si Joint Fx/dislocation, Letournel B1, Rt Comminuted Pubic Ramus Fx, Letournel A1, Lt Simple Pubic Ramus Fx,

Cl Fx Disrupt Pelv Circ, 05/03/1998, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Traum Pneumothorax-clsd, 05/03/1998, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Broken Tooth, 05/03/1998, Open Wound Of Tooth (broken), Uncomplicated, Icd 873.63
Open Wound Of Nose Nos, 05/03/1998, Open Wound Of Nose, Unspecified Site, Uncomplicated, Icd 873.20
Traumatic Shock, 05/03/1998, Traumatic Shock, Icd 958.4
Ac Posthemor Anemia, 05/03/1998, Acute Posthemorrhagic Anemia, Icd 285.1
Pulmonary Collapse, 05/03/1998, Pulmonary Collapse, Icd 518.0

3 Pelvis/exts

Plan Orif Wed; In Traction

Or Data From 05/06/1998 - Case 192597, 78.306 Application Of External Fixator - Ao Large, Anestimes 08:0210:3008:02, Surgtimes 06:06 08:2710:20, General Wedforane, Synthes 393.71 Adj Clamp, Synthes 294.68 Schanz Screw, Synthes 394.82 Carbon Rods, Synthes 394.84 Carbon Rods, Synthes 214.850 Cortical Screw, Synthes 214.850 Cortical Screw, Synthes 229.33 Recon Plate, Synthes 393.64 Single Clamp, Synthes 310.29 Drill Bit, Synthes 219.99 Washer, Synthes 218.050 Cancellous Screw, Richards 41-0236 Guide Pin, Richards 121638 Cannulated Screw, Synthes 218.065 Cancellous Screw

05/03/1998 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
05/03/1998 Tc 38.91 Arterial Catheterization, Tp 2
05/03/1998 Tc 23.19 Other Surgical Extraction Of Tooth, Tp 3

05/03/1998 TRACS Registry Data:

Injury Data: E Code 819.1, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 05/03/1998, Accident Position - Passenger, EMS Transport - Helicopter

ER Data: Arrival 02:00 05/03/1998, S/P MVC, Alert, VS - R20 P81 BP128, GCS 15, EtOH 0, Base Deficit -6, Hct 34, Head CT - Negative, Abd CT - Negative, ISS 26, ISS 26

Discharge Data: DC Date 05/08/1998, Hosp Days 5, ICU Days 1, Vent Days 0, Disposition - Rehab, Hospital Charges $29509, Insurance - Commercial

05/03/98 - 5/8/98 - Hospitalization (5 hospital days) T:MSL/PW

Case 12

12/29/1997

66 WM

Jf/pw

L Femur Fx

Pubic Diastasis With Post Si Translat R

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
848.5 Pubic Symphysis Diastasis
846.1 Rt Sacroiliac Joint Injury
805.6 Sacral Fx

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears B1 (lt Si Joint Subluxation, Letournel E, Pubic Diastasis, Letournel D, Rt Simple Sacral Alar Fx, Assoc Rt Si Joint Dislocation,

Cl Fx Disrupt Pelv Circ, 12/29/97, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fx Femur Shaft-closed, 12/29/97, Fracture Of Shaft Of Femur, Closed, Icd 821.01
Fracture One Rib-closed, 12/29/97, Closed Fracture Of One Rib, Icd 807.01
Traum Pneumothorax-clsd, 12/29/97, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Fx Lumbar Vertebra-clsd, 12/29/97, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
Pulmonary Collapse, 12/29/97, Pulmonary Collapse, Icd 518.0
Ac Posthemor Anemia, 12/29/97, Acute Posthemorrhagic Anemia, Icd 285.1
Acidosis, 12/29/97, Acidosis, Icd 276.2
Dm1 Uncomp Nsu, 12/29/97, Type I Diabetes Mellitus Without Mention Of Complication, Not Stated As Uncontrolled, Icd 250.01
Hypothermia, 12/29/97, Hypothermia, Icd 991.6
Knee Replacement Status, 12/29/97, Knee Joint Replacement Status, Icd V43.65

3 Pelvis/exts

12/29 L Fem. Imn (tl)

12/31 Orif Pelvis Si Screw

Or Data From 12/30/1997 - Case 184465, 75.350 Insertion Of Im Nail - Femur 75.350, Anestimes 00:4502:2800:45, Surgtimes 00:5502:25, General Tueforane, Richards 122266 Locking Screw, Richards 122132 Femoral Nail, Richards 122271 Locking Screw, Zimmer 187-05-59 Steinman Pin

Or Data From 12/31/1997 - Case 184573, 79.850 Orif Of Pelvis, Anestimes 07:4510:2507:45, Surgtimes 08:4010:15, General Wedforane, Synthes 204.840 Cortical Screw, Synthes 206.030 Cancellous Screw, Synthes 206.035 4mm Cancellous Screw, Synthes 206.040 Cancellous Screw, Synthes 206.050 Cancellous Screw, Synthes 245.32 Recon Plate, Richards 41-0236 Guide Pin, Synthes 310.23 Drill Bit, Richards 121641 Cannulated Screw, Richards 121680 Washer

12/29/97 Tc 79.35 Open Reduction Of Fracture Of Femur With Internal Fixation, Tp 1
12/29/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2
12/29/97 Tc 38.93 Venous Catheterization, Not Elsewhere Classified, Tp 3
12/29/97 Tc 89.64 Pulmonary Artery Wedge Monitoring, Tp 4
12/29/97 Tc 87.77 Other Cystogram, Tp 5
12/29/97 Tc 96.6 Enteral Infusion Of Concentrated Nutritional Substances, Tp 6

12/29/97 TRACS Registry Data:

Injury Data: E Code 916, Injury Site - E849.8, Trauma Type - Blunt, Injury Date 12/29/97 09:30, EMS Transport - Ambulance

ER Data: Arrival 19:28 12/29/97, S/P Accident, Alert, VS - T94 R24 P98 BP116, GCS 15, Hct 26, Abd CT - Positive, ISS 29, ISS 29

Discharge Data: DC Date 01/07/98, Hosp Days 8, ICU Days 4, Vent Days 2, Disposition - Rehab, Hospital Charges $50641, Insurance - Medicare

12/29/97 - 01/09/98 - Hospitalization (11 hospital days) JF/PW

Case 13

08/01/1997

15 WF

Bb/kdj

L Subtroch Femur Fx, L Hip Dislocation(?neck Fx), R Vertical Shear Pelvis

820.22 Lt Subtroch Femur Fx
835.010 Lt Hip Posterior Dislocation
808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis
808.43 Major Pelvic Ring Disruption
806.62 Sacral Fx With Incomplete Cauda Equina Syndrome
808.2 Rt Pubic Fx

Lt Prox 1/3 Femur Shaft Fx, Hw1, M32a3.1,

Lt Posterior Hip Dislocation - Epstein 1,

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears B2 (rt Comminuted Transforaminal Sacral Fx, Assoc Rt Si Joint Fx, Denis 2, Letournel C, Seattle 3, Pubic Diastasis, Letournel D, 4 Cm,

Major Pelvic Ring Disruption, Rt Comminuted Transforaminal Sacral Fx, Associated Incomplete Cauda Equina Syndrome, Denis 2, Letournel C, Seattle 3, Rt Simple Pubic Ramus Fx,

Fx Neck Of Femur Nos-cl, 08/01/97, Fracture Of Unspecified Part Of Neck Of Femur, Closed, Icd 820.8
Cl Fx Disrupt Pelv Circ, 08/01/97, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fracture Of Pubis-closed, 08/01/97, Closed Fracture Of Pubis, Icd 808.2
Fx Sacrum/coccyx-closed, 08/01/97, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx Lumbar Vertebra-clsd, 08/01/97, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
, 08/01/97, , Icd
Kidney Hematoma-closed, 08/01/97, Hematoma Of Kidney, Without Rupture Of Capsule, Without Mention Of Open Wound Into Cavity, Icd 866.01
Concussion W Coma Nos, 08/01/97, Concussion With Loss Of Consciousness Of Unspecified Duration, Icd 850.5
Abrasion Head, No Infect, 08/01/97, Abrasion Or Friction Burn Of Face, Neck, And Scalp Except Eye, Without Mention Of Infection, Icd 910.0
Open Wound Of Lip, 08/01/97, Open Wound Of Lip, Uncomplicated, Icd 873.43
Open Wound Of Jaw, 08/01/97, Open Wound Of Jaw, Uncomplicated, Icd 873.44
Lac Eyelid/perioc Skn, 08/01/97, Laceration Of Skin Of Eyelid And Periocular Area, Icd 870.0
Ac Posthemor Anemia, 08/01/97, Acute Posthemorrhagic Anemia, Icd 285.1
Traumatic Shock, 08/01/97, Traumatic Shock, Icd 958.4

3 Pelvis/exts

8/1 Recon Nail & Reduce Hip

8/6 Orif R Sacrum And Symphisis

Or Data From 08/01/1997 - Case 175347, 75.350 Insertion Of Im Nail - Femur 75.350, Anestimes 04:5006:3004:50, Surgtimes 05:0006:25, General Friforane, Zimmer 187-05-59 Steinman Pin, Richards 122357 Recon Nail, Zimmer 187-02-59 Steinman Pin, Richards 122251 Screw, Richards 122282 Locking Screw

Or Data From 08/06/1997 - Case 175654, 79.850 Orif Of Pelvis, Anestimes 13:3018:2813:30, Surgtimes 11:5613:0014:0518:00, General Wedforane, Synthes 292.68 Guide Wire, Synthes 224.58 Lc Dcp Plate, Synthes 224.59 Lc Dcp Plate, Synthes 219.98 Washer, Synthes 218.055 Screw, Synthes 218.035 Screw, Synthes 218.075 6.5 Screw, Synthes 393.64 Single Clamp, Synthes 394.84 Carbon Rod

08/01/97 Tc 79.35 Open Reduction Of Fracture Of Femur With Internal Fixation, Tp 1
08/01/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2
08/01/97 Tc 89.64 Pulmonary Artery Wedge Monitoring, Tp 3
08/01/97 Tc 86.59 Suture Of Skin And Subcutaneous Tissue Of Other Sites, Tp 4
08/01/97 Tc 96.71 Continuous Mechanical Ventilation For Less Than 96 Consecutive Hours, Tp 5

08/01/97 TRACS Registry Data:

Injury Data: E Code 816.1, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 07/31/97 23:00, Accident Position - Passenger, EMS Transport - Helicopter

ER Data: Arrival 01:22 08/01/97, S/P MVC, Unresponsive, VS - R0 P130 BP134, GCS 14, EtOH 0, Airway - Oral ETT, Base Deficit -6, Hct 23, Head CT - Negative, Abd CT - Negative, ISS 33, ISS 33

Discharge Data: DC Date 08/11/97, Hosp Days 10, ICU Days 5, Vent Days 3, Disposition - Rehab, Hospital Charges $62062, Insurance - Commercial

08/01/97 - 8/11/97 - Hospitalization (10 hospital days) BB/KDJ

Case 14

03/13/1997

16 WF

/pw

808.43 Major Pelvic Ring Disruption
808.08 T Acetabular Fx
808.43 Major Pelvic Ring Disruption
808.41 Rt Iliac Fx

Major Pelvic Ring Disruption, Ap Compression 3, Tile C3, Juxtatectal Comminuted T Acetabular Fx, Vertical Stem, Articular Surface Boneloss,

Major Pelvic Ring Disruption, Rt Simple Iliac Fx,
Not Done/doc, 03/13/97, Not Done/doc, Icd None
Cl Fx Disrupt Pelv Circ, 03/13/97, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fracture Acetabulum-clsd, 03/13/97, Closed Fracture Of Acetabulum, Icd 808.0
Fracture Of Pubis-closed, 03/13/97, Closed Fracture Of Pubis, Icd 808.2
Fracture Of Ilium-closed, 03/13/97, Closed Fracture Of Ilium, Icd 808.41
Disloc Sacrum-closed, 03/13/97, Closed Dislocation, Sacrum, Icd 839.42
Concussion Nos, 03/13/97, Concussion, Unspecified, Icd 850.9
Fx Lumbar Vertebra-clsd, 03/13/97, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
, 03/13/97, , Icd
Fx Radius Head-closed, 03/13/97, Fracture Of Head Of Radius, Closed, Icd 813.05
Ac Posthemor Anemia, 03/13/97, Acute Posthemorrhagic Anemia, Icd 285.1
Hypopotassemia, 03/13/97, Hypopotassemia, Icd 276.8
Disord Magnesium Metabol, 03/13/97, Disorders Of Magnesium Metabolism, Icd 275.2
Disorder Ca Metabolism, 03/13/97, Disorders Of Calcium Metabolism, Icd 275.4
Urinary Tract Inf Nos, 03/13/97, Urinary Tract Infection, Site Not Specified, Icd 599.0
E. Coli Infect Nos, 03/13/97, Escherichia Coli (e. Coli) Infection In Conditions Classified Elsewhere And Of Unspecified Site, Icd 041.4
Candidiasis Of Lung, 03/13/97, Candidiasis Of Lung, Icd 112.4
Depressive Disorder Nec, 03/13/97, Depressive Disorder, Not Elsewhere Classified, Icd 311
Acidosis, 03/13/97, Acidosis, Icd 276.2

3 Pelvis/exts

03/13/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
03/13/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2
03/13/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 3
03/13/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 4
03/13/97 Tc 96.71 Continuous Mechanical Ventilation For Less Than 96 Consecutive Hours, Tp 5
03/13/97 Tc 96.04 Insertion Of Endotracheal Tube, Tp 6
03/13/97 Tc 87.77 Other Cystogram, Tp 7

03/13/97 TRACS Registry Data:

Injury Data: E Code 815.0, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 03/13/97, Accident Position - Driver, EMS Transport - Helicopter

ER Data: Arrival 14:14 03/13/97, S/P MVC, Alert, VS - T100 R22 P124 BP139, GCS 15, EtOH 0, Base Deficit -5, Hct 33, Head CT - Negative, Abd CT - Negative, ISS 17, ISS 17

Discharge Data: DC Date 03/24/97, Hosp Days 11, ICU Days 4, Vent Days 3, Disposition - Rehab, Hospital Charges $63744, Insurance - Commercial

03/13/97 - 03/24/97 - Hospitalization (11 hospital days) /PW

Case 15

01/21/1997

32 WF

/je

Pelvic Fx

808.43 Major Pelvic Ring Disruption
846.1 Rt Sacroiliac Joint Injury
805.6 Sacral Fx
808.2 Lt Pubic Fx
808.2 Rt Pubic Fx

S/p - Horse Accident,

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears C1 (rt Comminuted Transforaminal Sacral Fx, Assoc Lt Si Joint Fx/subluxation, Denis 2, Letournel C, Seattle 3, Lt Comminuted Pubic Ramus Fx, Letournel A2, Rt Comminuted Pubic Ramus Fx, Letournel A2,

Fx Sacrum/coccyx-closed, 01/21/97, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Liver Laceration, Minor, 01/21/97, Laceration Of Liver, Minor, Without Mention Of Open Wound Into Cavity, Icd 864.02
Fracture Of Pubis-closed, 01/21/97, Closed Fracture Of Pubis, Icd 808.2
Fracture Of Ilium-closed, 01/21/97, Closed Fracture Of Ilium, Icd 808.41
Traum Pneumothorax-close, 01/21/97, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Ac Posthemorrhag Anemia, 01/21/97, Acute Posthemorrhagic Anemia, Icd 285.1
Preg State, Incidental, 01/21/97, Pregnant State, Incidental, Icd V22.2
Electrolyt/fluid Dis Nec, 01/21/97, Electrolyte And Fluid Disorders Not Elsewhere Classified, Icd 276.9
Dis Magnesium Metabolism, 01/21/97, Disorders Of Magnesium Metabolism, Icd 275.2
Hypopotassemia, 01/21/97, Hypopotassemia, Icd 276.8
Pulmonary Collapse, 01/21/97, Pulmonary Collapse, Icd 518.0

3 Pelvis/exts

Orif

01/21/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
01/21/97 Tc 78.19 Application Of External Fixation Device, Other, Tp 2
01/21/97 Tc 93.44 Other Skeletal Traction, Tp 3
01/21/97 Tc 38.91 Arterial Catheterization, Tp 4

01/21/97 TRACS Registry Data:

Injury Data: E Code 828.2, Trauma Type - Blunt, Injury Date 01/21/97, Accident Position - Mtrcycl Driver, EMS Transport - Ambulance

ER Data: Arrival 16:40 01/21/97, S/P Animal, Alert, VS - R24 P69 BP82, EtOH 0, Base Deficit 0, Hct 30, ISS 22, ISS 22

Discharge Data: DC Date 01/27/97, Hosp Days 6, ICU Days 3, Disposition - Rehab, Hospital Charges $35531, Insurance - Commercial

01/21/97 - 01/27/97 - Hospitalization (6 hospital days) /JE

Case 16

05/07/1996

43 WM

/mm

E829 Motorcycle Accident
808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis
956.0 Lt Sciatic Nerve Injury
813.429 Rt Distal Radius Fx

S/p Motorcycle Accident,

Major Pelvic Ring Disruption, Associated Urethral Injury, Ap Compression 3, Tile C1, Mears C1 (1 Cm Superior Vertical Dpl), Mears B3 (lt Simple Transforaminal Sacral Fx, 3 Cm Dpl, Assoc Lt Si Joint Fx, Denis 2, Letournel C, Seattle 3, Pubic Diastasis, Letournel D, 5 Cm, Lt Sciatic Nerve (peroneal Branch) Contusion,

Rt Melone 2 (posterior) (4 Part) Distal Articular Radius Fx, Frykman 7, M23c3.1,

4 Pelvis/exts

Case 17

04/26/1996

31 WF

/pw

808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
808.2 Lt Pubic Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 (rt Comminuted Transforaminal Sacral Fx, Denis 2, Letournel C, Seattle 3, Lt Simple Pubic Ramus Fx, Letournel A1,

Concussion W/o Coma, 04/26/96, , Icd 850.0
Fracture Of Pubis-closed, 04/26/96, , Icd 808.2
Fx Sacrum/coccyx-closed, 04/26/96, , Icd 805.6
Retroperitoneum Inj-cl, 04/26/96, , Icd 868.04
Pulmonary Collapse, 04/26/96, , Icd 518.0
Ac Posthemorrhag Anemia, 04/26/96, , Icd 285.1
Acidosis, 04/26/96, , Icd 276.2
Other Pulmonary Insuff, 04/26/96, , Icd 518.82
Urin Tract Infection Nos, 04/26/96, , Icd 599.0
Fx Lumbar Vertebra-close, 04/26/96, , Icd 805.4
Huntington's Chorea, 04/26/96, , Icd 333.4
Depressive Disorder Nec, 04/26/96, , Icd 311
Infect'n-streptococ Nos, 04/26/96, , Icd 041.00

2 Pelvis/exts

04/26/96 Tc 31.1 , Tp 1
04/26/96 Tc 79.39 , Tp 2
04/26/96 Tc 96.04 , Tp 3
04/26/96 Tc 96.72 , Tp 4

04/26/96 TRACS Registry Data:

Injury Data: E Code 957.1, Trauma Type - Blunt, Injury Date 04/26/96, EMS Transport - Ambulance

ER Data: Arrival 13:20 04/26/96, S/P Fall, Alert, VS - R24 P97 BP112, GCS 15, Trauma Score 12, EtOH 0, Base Deficit -3, Hct 30, Head CT - Negative, Abd CT - Positive, ISS 21

Discharge Data: DC Date 05/08/96, Hosp Days 12, ICU Days 11, Disposition - SNF, Insurance - Medicare

04/26/96 - 05/13/96 - Hospitalization (17 hospital days) /PW

Case 18

08/30/1995

67 M

/jre

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis
E846, E919 Industrial Accident

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears C2 (1 Cm Posterior Linear Dpl), Lt Simple Sacral Alar Fx, Assoc Lt Si Joint Dislocation, Pubic Diastasis, Letournel D, 1.5 Cm,

S/p Industrial Accident,
Pelv Fx-clos/pelv Disrup, 08/30/95, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fracture Of Pubis-closed, 08/30/95, Closed Fracture Of Pubis, Icd 808.2
Fracture Of Ilium-closed, 08/30/95, Closed Fracture Of Ilium, Icd 808.41
Fx Sacrum/coccyx-closed, 08/30/95, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx Scapula Nos-closed, 08/30/95, Closed Fracture Of Scapula, Unspecified Part, Icd 811.00
Fracture Six Ribs-closed, 08/30/95, Closed Fracture Of Six Ribs, Icd 807.06
Traum Pneumothorax-close, 08/30/95, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Lung Contusion-closed, 08/30/95, Contusion Of Lung Without Open Wound Into Thorax, Icd 861.21
Hypertension Nos, 08/30/95, Unspecified Essential Hypertension, Icd 401.9
Cornary Athero-natv Vesl, 08/30/95, Coronary Atherosclerosis Of Native Coronary Vessel, Icd 414.01
Aortocoronary Bypass, 08/30/95, Postsurgical Aortocoronary Bypass Status, Icd V45.81

3 Pelvis/exts

08/30/95 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
08/30/95 Tc 03.90 Insertion Of Catheter Into Spinal Canal For Infusion Of Therapeutic Or Palliative Substances, Tp 2

08/30/95 TRACS Registry Data:

Injury Data: E Code 919.0, Trauma Type - Blunt, Injury Date 08/30/95 10:10, EMS Transport - Helicopter

ER Data: Arrival 15:32 08/30/95, S/P Machine, Alert, VS - R20 P78 BP110, GCS 15, EtOH 0, Base Deficit -7, Hct 32, Abd CT - Negative, ISS 25, ISS 25

Discharge Data: DC Date 09/12/95, Hosp Days 13, ICU Days 4, Vent Days 0, Disposition - Home Health, Hospital Charges $34103, Insurance - Medicare

08/30/95 - 10/24/95 Hospitalization JRE

Case 19

07/29/1995

45 M

/pw

808.43 Major Pelvic Ring Disruption
848.5 Pubic Symphysis Diastasis
808.2 Rt Pubic Fx
848.5 Pubic Symphysis Diastasis
808.2 Lt Pubic Fx
846.1 Rt Sacroiliac Joint Injury

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears C1 ( Cm Superior Vertical Dpl), Mears C2 ( Cm Posterior Linear Dpl), Pubic Diastasis, Rt Simple Pubic Ramus Fx, Letournel A1, Pubic Diastasis, Lt Simple Pubic Ramus Fx, Letournel A1, Rt Si Joint Dislocation, Letournel E,

Fx Femur Shaft-closed, 07/29/95, Fracture Of Shaft Of Femur, Closed, Icd 821.01
, 07/29/95, , Icd
Pelv Fx-clos/pelv Disrup, 07/29/95, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Dislocat Sacrum-closed, 07/29/95, Closed Dislocation, Sacrum, Icd 839.42
Fx Lumbar Vertebra-close, 07/29/95, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4

3 Pelvis/exts

07/29/95 Tc 79.15 Closed Reduction Of Fracture Of Femur With Internal Fixation, Tp 1
07/29/95 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2

07/29/95 TRACS Registry Data:

Injury Data: E Code 828.2, Trauma Type - Blunt, Injury Date 07/29/95, Accident Position - Mtrcycl Driver, EMS Transport - Ambulance

ER Data: Arrival 16:40 07/29/95, S/P Animal, Alert, VS - R26 P67 BP98, GCS 15, EtOH 0, ISS 13, ISS 13

Discharge Data: DC Date 08/09/95, Hosp Days 11, ICU Days 0, Vent Days 0, Disposition - Rehab, Insurance - Commercial

07/29/95 - 09/29/95 - Hospitalization (62 hospital days) /PW

Case 20

07/22/1995

43 M

Kjp/kdj

E812 Auto Vs Auto Accident
808.53 Major Open Pelvic Ring Disruption
846.1 Rt Sacroiliac Joint Injury
848.5 Pubic Symphysis Diastasis
837.0 Lt Ankle Dislocation
824.2 Lt Fibula Fx
845.01 Lt Deltoid Ligament Injury
845.03 Lt Distal Tib-fib Ligament Injury
813.411 Rt Colles Fx

S/p Mva, Auto Vs Auto, Speed > 60 Mph, Unbelted, Etoh Suspected,

Major Open Pelvic Ring Disruption, 12 L Ebl, Associated Bladder, Urethral, Rectal Injuries, Vertical Shear, Tile C1, Mears C2 (2 Cm Posterior Linear Dpl), Rt Si Joint Dislocation, Letournel E, 1.5 Cm Dpl, Pubic Diastasis, Letournel D, 8 Cm, Tscherne C0,

Lt Ankle Injury - Lauge Hansen Pronation Eversion Stage 3, Fx/dislocation, Deltoid Ligament Injury, Anterior Tib-fib Ligament Injury, Danis Weber C Fibular Fx, 6 Mm Dpl, 3 Mm Shortening, M44c3.2, Lateral Tibiotalar Subluxation,

Rt Colles Distal Radius Transverse Fx, -15 ° Ap Tilt, 6 Mm Short, 4 Mm Ap Trans, -15 ° Lat Tilt, 4 Mm Lat Trans, Ulnar Styloid Process Avulsion Fx, Frykman 6, M23a2.2,

5 Pelvis/exts

Iss = 25

Case 21

05/28/1995

42 y o f

/jre

821.01 Lt Femur Shaft Fx
823.20 Lt Tibia Shaft Fx
808.43 Major Pelvic Ring Disruption
808.41 Lt Iliac Fx
808.42 Lt Ischial Fx
808.2 Lt Pubic Fx

Lt Mid Femur Shaft Fx, 100 % Dpl, Hw1, M32a3.2,

Lt Distal 1/4 Tibia Shaft Fx, 45 ° Fx Obliquity, 5 % Dpl, 0° Ang, Hw1, M42a2.1, Ota1b, Ca, Tloc 8,

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 (2 Cm Superior Vertical Dpl), Mears C2 (1.5 Cm Posterior Linear Dpl), Lt Avulsion Iliac Fx, ,5 Mm Dpl, Lt Simple Ischial Fx, Lt Simple Pubic Ramus Fx, Letournel A1,

Fx Femur Shaft-closed, 05/28/95, Fracture Of Shaft Of Femur, Closed, Icd 821.01
Pelv Fx-clos/pelv Disrup, 05/28/95, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fx Shaft Tibia-closed, 05/28/95, Closed Fracture Of Shaft Of Tibia, Icd 823.20
Dislocat Sacrum-closed, 05/28/95, Closed Dislocation, Sacrum, Icd 839.42
Lung Contusion-closed, 05/28/95, Contusion Of Lung Without Open Wound Into Thorax, Icd 861.21
Hyposmolality, 05/28/95, Hyposmolality And/or Hyponatremia, Icd 276.1
Ac Posthemorrhag Anemia, 05/28/95, Acute Posthemorrhagic Anemia, Icd 285.1

3 Pelvis/exts

05/28/95 Tc 79.35 Open Reduction Of Fracture Of Femur With Internal Fixation, Tp 1
05/28/95 Tc 79.36 Open Reduction Of Fracture Of Tibia And Fibula With Internal Fixation, Tp 2
05/28/95 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 3

05/28/95 TRACS Registry Data:

Injury Data: E Code 812.1, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 05/28/95, Accident Position - Passenger, EMS Transport - Ambulance

ER Data: Arrival 20:02 05/28/95, S/P MVC, Alert, VS - R20 P99 BP104, GCS 15, EtOH 0, ISS 18, ISS 18

Discharge Data: DC Date 06/06/95, Hosp Days 9, ICU Days 2, Vent Days 0, Disposition - Home Health, Insurance - Commercial

05/28/95 - 07/24/95 - Hospitalization (57 hospital days) /JRE

Case 22

11/23/1994

72 M

/pw

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
808.41 Lt Iliac Fx
891 Lt Lower Leg Wound

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears C2 ( Cm Posterior Linear Dpl), Lt Post Iliac Fx Assoc Lt Si Joint Fx/dislocation, Letournel B1,

Lt Lower Leg Wound, 6 Cm, Light Contamination

Fx Up Tibia W Fibula-cl, 11/23/94, Closed Fracture Of Upper End Of Fibula With Tibia, Icd 823.02
Fracture Of Pubis-closed, 11/23/94, Closed Fracture Of Pubis, Icd 808.2
Dislocat Sacrum-closed, 11/23/94, Closed Dislocation, Sacrum, Icd 839.42
Fluid Overload, 11/23/94, Fluid Overload, Icd 276.6

3 Pelvis/exts

11/23/94 Tc 03.53 Repair Of Vertebral Fracture, Tp 1
11/23/94 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2
11/23/94 Tc 78.17 Application Of External Fixation Device, Tibia And Fibula, Tp 3

11/23/94 TRACS Registry Data:

Injury Data: E Code 814.7, Accident Position - Pedestrian, EMS Transport - Ambulance

ER Data: Arrival 15:23 11/23/94, S/P PEDESTRIAN, VS - R28 BP135, GCS 15, Trauma Score 8, EtOH 0, ISS 9

Discharge Data: DC Date 12/08/94, Hosp Days 15, ICU Days 0, Disposition - Rehab, Insurance - Medicare

11/23/94 - 1/3/95 - Hospitalization /PW

Case 23

13753181

10/20/1994

31ym

/mm

E816 Single Auto Accident
808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis
996.4/808.43 Implant Failure - Major Pelvic Ring Disruption

S/p Mva, Single Auto, Driver, Unbelted, Etoh Suspected,

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 ( Cm Superior Vertical Dpl), Mears C2 ( Cm Posterior Linear Dpl), Rt Simple Sacral Alar Fx, 14 Cm Dpl, Denis 1, Letournel C, Seattle 2, Pubic Diastasis, Letournel D, 2 Cm,

Fx Sacrum/coccyx-closed, 10/20/94, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fracture Of Pubis-closed, 10/20/94, Closed Fracture Of Pubis, Icd 808.2
Fx Lumbar Vertebra-close, 10/20/94, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4

3 Pelvis/exts

10/20/94 Tc 03.53 Repair Of Vertebral Fracture, Tp 1
10/20/94 Tc 79.29 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, Without Internal Fixation, Tp 2
10/20/94 Tc 86.59 Suture Of Skin And Subcutaneous Tissue Of Other Sites, Tp 3

10/20/94 TRACS Registry Data:

Injury Data: E Code 815.0, Accident Position - Driver, EMS Transport - Ambulance

ER Data: Arrival 06:10 10/20/94, S/P MVC, VS - R20 BP101, GCS 13, Trauma Score 8, EtOH 11, ISS 29

Discharge Data: DC Date 10/26/94, Hosp Days 6, ICU Days 2, Disposition - Home, Insurance - Self Pay

10/20/94 - 10/25/94 - Hospitalization /MM

Case 24

07/08/1994

52 M

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
808.41 Lt Iliac Fx
846.1 Rt Sacroiliac Joint Injury
808.41 Rt Iliac Fx
846.1 Rt Sacroiliac Joint Injury
805.6 Sacral Fx
808.43 Major Pelvic Ring Disruption
848.5 Pubic Symphysis Diastasis
808.2 Rt Pubic Fx
848.5 Pubic Symphysis Diastasis
808.2 Lt Pubic Fx
848.5 Pubic Symphysis Diastasis
808.2 Lt Pubic Fx

Major Pelvic Ring Disruption, Bilateral Ap Compression 3, Tile C2, Lt Post Iliac Fx Assoc Lt Si Joint Fx/dislocation, Letournel B1, Rt Post Iliac Fx Assoc Rt Si Joint Fx/dislocation, Letournel B1, Rt Simple Sacral Alar Fx, Assoc Rt Si Joint Fx/dislocation, Denis 1, Letournel C, Seattle 1,

Major Pelvic Ring Disruption, Bilateral Ap Compression 3, Tile C2, Pubic Diastasis, Rt Simple Pubic Ramus Fx, Pubic Diastasis, Lt Simple Pubic Ramus Fx, Pubic Diastasis, Lt Simple Pubic Ramus Fx,

Dislocat Sacrum-closed, 07/08/94, Closed Dislocation, Sacrum, Icd 839.42
Fx Sacrum/coccyx-closed, 07/08/94, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fracture Of Pubis-closed, 07/08/94, Closed Fracture Of Pubis, Icd 808.2
Chr Airway Obstruct Nec, 07/08/94, Chronic Airway Obstruction, Not Elsewhere Classified, Icd 496
Ac Posthemorrhag Anemia, 07/08/94, Acute Posthemorrhagic Anemia, Icd 285.1

3 Pelvis/exts

07/08/94 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1

07/08/94 TRACS Registry Data:

Injury Data: E Code 815.0, Accident Position - Driver, EMS Transport - Ambulance

ER Data: Arrival 14:21 07/08/94, S/P MVC, VS - R24 BP136, GCS 15, Trauma Score 8, EtOH 0, ISS 9

Discharge Data: DC Date 07/21/94, Hosp Days 13, ICU Days 3, Disposition - Other, Insurance - Commercial

7/8/94 - xx/xx/94 - Hospitalization /

Case 25

06/06/1994

18yf

Pw

808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
998.5/805.6 Deep Wound Infection
 
Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C2 ( Cm Posterior Linear Dpl), Rt Comminuted Sacral Alar Fx, Denis 1, Letournel C, Seattle 2,
 
Fx Sacrum/coccyx-closed, 05/26/94, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx C1 Vertebra-closed, 05/26/94, Closed Fracture Of First Cervical Vertebra, Icd 805.01
Fx Lumbar Vertebra-close, 05/26/94, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
Concussion-brief Coma, 05/26/94, Concussion With Brief Loss Of Consciousness, Icd 850.1
Open Wound Of Vulva, 05/26/94, Open Wound Of Vulva, Without Mention Of Complication, Icd 878.4

2 Pelvis/exts

05/26/94 Tc 02.94 Insertion Or Replacement Of Skull Tongs Or Halo Traction Device, Tp 1
05/26/94 Tc 03.53 Repair Of Vertebral Fracture, Tp 2
05/26/94 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 3

05/26/94 TRACS Registry Data:

Injury Data: E Code 819.0, Accident Position - Driver, EMS Transport - Helicopter

ER Data: Arrival 22:08 05/26/94, S/P MVC, VS - R20 BP120, GCS 15, Trauma Score 8, EtOH 0, ISS 17

Discharge Data: DC Date 06/04/94, Hosp Days 9, ICU Days 1, Disposition - Home Health, Insurance - Self Pay

5/26/94 - 6/2/94 - Hospitalization

6/6/94 - xx/xx/94 - Hospitalization PW

Case 26

05/13/1994

24 F

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
805.6 Sacral Fx
808.00 Rt Anterior Wall Acetabular Fx

Major Pelvic Ring Disruption, Associated Bladder Injury, Vertical Shear, Tile C1, Lt Simple Sacral Alar Fx, Assoc Lt Si Joint Fx/dislocation,

Pelvic Injury Not Involving Pelvic Ring, Tile A1, Rt Simple Anterior Wall Acetabular Fx,

Fracture Acetabulum-clos, 05/13/94, Closed Fracture Of Acetabulum, Icd 808.0
Dislocat Sacrum-closed, 05/13/94, Closed Dislocation, Sacrum, Icd 839.42
Bladder/urethra Inj-clos, 05/13/94, Injury To Bladder And Urethra Without Mention Of Open Wound Into Cavity, Icd 867.0
Ascending Colon Inj-clos, 05/13/94, Injury To Ascending (right) Colon Without Open Wound Into Cavity, Icd 863.41
Fx Mid/prx Phal, Hand-cl, 05/13/94, Closed Fracture Of Middle Or Proximal Phalanx Or Phalanges Of Hand, Icd 816.01

3 Pelvis/exts

05/13/94 Tc 57.81 Suture Of Laceration Of Bladder, Tp 1
05/13/94 Tc 87.76 Retrograde Cystourethrogram, Tp 2
05/13/94 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 3
05/13/94 Tc 46.75 Suture Of Laceration Of Large Intestine, Tp 4

05/13/94 TRACS Registry Data:

Injury Data: E Code 815.1, Accident Position - Passenger, EMS Transport - Helicopter

ER Data: Arrival 04:40 05/13/94, S/P MVC, VS - R20 BP158, GCS 15, Trauma Score 8, EtOH 0, ISS 25

Discharge Data: DC Date 05/27/94, Hosp Days 14, ICU Days 1, Disposition - Home Health, Insurance - Blue Cross

5/13/94 - xx/xx/94 - Hospitalization

Case 27

05/11/1994

68 F

/pw

808.43 Major Pelvic Ring Disruption
846.1 Rt Sacroiliac Joint Injury
805.6 Sacral Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Rt Simple Sacral Alar Fx, Assoc Rt Si Joint Dislocation,

Traum Pneumothorax-close, 05/14/94, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Dislocat Sacrum-closed, 05/14/94, Closed Dislocation, Sacrum, Icd 839.42
Brain Inj Nec-coma Nos, 05/14/94, Intracranial Injury Of Other And Unspecified Nature, Without Mention Of Open Intracranial Wound, With Loss Of Consciousness Of Unspecified Duration, Icd 854.06
Fracture Of Pubis-closed, 05/14/94, Closed Fracture Of Pubis, Icd 808.2
Fx Mult Ribs Nos-closed, 05/14/94, Closed Fracture Of Multiple Ribs, Unspecified, Icd 807.09

3 Pelvis/exts

05/14/94 Tc 31.29 Other Permanent Tracheostomy, Tp 1
05/14/94 Tc 03.53 Repair Of Vertebral Fracture, Tp 2
05/14/94 Tc 33.22 Fiber-optic Bronchoscopy, Tp 3
05/14/94 Tc 96.04 Insertion Of Endotracheal Tube, Tp 4

05/14/94 TRACS Registry Data:

Injury Data: E Code 815.0, Accident Position - Driver, EMS Transport - Helicopter

ER Data: Arrival 03:26 05/14/94, S/P MVC, VS - R0 BP99, EtOH 153, Airway - Oral ETT, ISS 34

Discharge Data: DC Date 07/18/94, Hosp Days 65, ICU Days 46, Disposition - Nursing Home, Insurance - Medicare

5/11/94 - xx/xx/94 - Hospitalization /PW

Case 28

03/18/1994

18 M

Pw/

3/17/94 Pelvic Fx S/p Ex-fix

Left Femur: Fx

808.43 Major Pelvic Ring Disruption
808.41 Rt Iliac Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears B1 ( ° Superior Coronal Rotational Dpl), Mears C1 ( Cm Superior Vertical Dpl), Rt Simple Trans Iliac Fx, Letournel B,

Supracondyl Fx Femur-cl, 03/17/94, Supracondylar Fracture Of Femur, Closed, Icd 821.23
Cl Sk Vlt Fx Oth Inj-nec, 03/17/94, Closed Fracture Of Vault Of Skull With Intracranial Injury Of Other And Unspecified Nature, With Loss Of Consciousness Of Unspecified Duration, Icd 800.46
Cl Base Fx Oth Inj - Nec, 03/17/94, Closed Fracture Of Base Of Skull With Intracranial Injury Of Other And Unspecified Nature, With Loss Of Consciousness Of Unspecified Duration, Icd 801.46
Cl Base Fx Ic Hem - Nec, 03/17/94, Closed Fracture Of Base Of Skull With Subarachnoid, Subdural, And Extradural Hemorrhage, With Loss Of Consciousness Of Unspecified Duration, Icd 801.26
Cl Sk Vlt Fx Ic Hem-nec, 03/17/94, Closed Fracture Of Vault Of Skull With Subarachnoid, Subdural, And Extradural Hemorrhage, With Loss Of Consciousness Of Unspecified Duration, Icd 800.26
Fx Malar/maxillary-close, 03/17/94, Malar And Maxillary Bones, Closed Fracture, Icd 802.4
Other Gi Injury - Closed, 03/17/94, Injury To Other And Unspecified Gastrointestinal Sites Without Open Wound Into Cavity, Icd 863.89
Pelv Fx-clos/pelv Disrup, 03/17/94, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Spont Pneumothorax Nec, 03/17/94, Other Spontaneous Pneumothorax, Icd 512.8
Pulmonary Collapse, 03/17/94, Pulmonary Collapse, Icd 518.0

2 Pelvis/exts

03/17/94 Tc 78.19 Application Of External Fixation Device, Other, Tp 1
03/17/94 Tc 54.25 Peritoneal Lavage, Tp 2
03/17/94 Tc 88.72 Diagnostic Ultrasound Of Heart, Tp 3
03/17/94 Tc 96.71 Continuous Mechanical Ventilation For Less Than 96 Consecutive Hours, Tp 4
03/17/94 Tc 86.59 Suture Of Skin And Subcutaneous Tissue Of Other Sites, Tp 5
03/17/94 Tc 79.09 Closed Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, Without Internal Fixation, Tp 6

03/17/94 TRACS Registry Data:

Injury Data: E Code 819.2, Accident Position - Mtrcycl Driver, EMS Transport - Helicopter

ER Data: Arrival 21:25 03/17/94, S/P Mtrcycle Crash, VS - R0 BP80, GCS 3, Trauma Score 2, EtOH 0, Airway - Oral ETT, ISS 59

Discharge Data: DC Date 03/21/94, Hosp Days 4, ICU Days 4, Disposition - Death, Insurance - Commercial

3/18/94 - 4/1/94 - Hospitalization

Case 29

19 M

Kp/kdj

808.43 Major Pelvic Ring Disruption
808.41 Lt Iliac Fx
846.1 Lt Sacroiliac Joint Injury
808.41 Lt Iliac Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 (2 Cm Superior Vertical Dpl), Mears B1 ( ° Superior Coronal Rotational Dpl), Lt Comminuted Trans Iliac Fx, Letournel B, 20 Mm Dpl, Lt Post Iliac Fx Assoc Lt Si Joint Subluxation, Letournel B2, 2 Cm Lt Post Pelvic Dpl,

Small Intest Inj Nec-cl, 12/14/94, Other Injury To Small Intestine Without Open Wound Into Cavity, Icd 863.29
Descending Colon Inj-cl, 12/14/94, Injury To Descending (left) Colon Without Open Wound Into Cavity, Icd 863.43
Cl Base Fx Oth Hem - Nec, 12/14/94, Closed Fracture Of Base Of Skull With Other And Unspecified Intracranial Hemorrhage, With Loss Of Consciousness Of Unspecified Duration, Icd 801.36
Fracture Of Ilium-closed, 12/14/94, Closed Fracture Of Ilium, Icd 808.41
Dislocat Sacrum-closed, 12/14/94, Closed Dislocation, Sacrum, Icd 839.42

3 Pelvis/exts

12/14/94 Tc 46.73 Suture Of Laceration Of Small Intestine, Except Duodenum, Tp 1
12/14/94 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 2
12/14/94 Tc 54.25 Peritoneal Lavage, Tp 3
12/14/94 Tc 87.76 Retrograde Cystourethrogram, Tp 4

12/14/94 TRACS Registry Data:

Injury Data: E Code 812.1, Accident Position - Passenger, EMS Transport - Ambulance

ER Data: Arrival 07:36 12/14/94, S/P MVC, VS - R0 BP105, GCS 9, EtOH 0, ISS 34

Discharge Data: DC Date 01/06/95, Hosp Days 23, ICU Days 4, Disposition - Home, Insurance - Access Med Plus

Case 30

Pw/

Pelvis/tab Fx

E Fix

808.43 Major Pelvic Ring Disruption
808.04 Transverse Acetabular Fx

Major Pelvic Ring Disruption, Associated Urethral Injury, Ap Compression 3, Tile C3, Comminuted Transtectal Transverse Acetabular Fx,

3 Pelvis/exts

Case 31

31 WM

/pw

808.43 Major Pelvic Ring Disruption
808.41 Lt Iliac Fx
848.5 Pubic Symphysis Diastasis
823.30 Lt Open Tibia Shaft Fx

Major Pelvic Ring Disruption, Associated Bowel Injury, Bilateral Ap Compression 3, Tile C2, Lt Simple Trans Iliac Fx, Letournel B2, Pubic Diastasis, Letournel D, Tscherne C0,

Lt Distal 1/3 Tibia Shaft Fx, 3 Butterfly Fragments, Hw3, M42b3.1, Ota2b, Cc, Tloc 6, Gr 2 Open, Light Contamination, Oi2,

Cl Fx Disrupt Pelv Circ, 05/04/96, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fracture Of Pubis-closed, 05/04/96, Closed Fracture Of Pubis, Icd 808.2
Other Gi Injury - Closed, 05/04/96, Injury To Other And Unspecified Gastrointestinal Sites Without Open Wound Into Cavity, Icd 863.89
Traum Pneumothorax-clsd, 05/04/96, Traumatic Pneumothorax Without Mention Of Open Wound Into Thorax, Icd 860.0
Fracture One Rib-closed, 05/04/96, Closed Fracture Of One Rib, Icd 807.01
Fx Shaft Tibia W Fib-opn, 05/04/96, Open Fracture Of Shaft Of Fibula With Tibia, Icd 823.32
, 05/04/96, , Icd
Lac Eyelid/perioc Skn, 05/04/96, Laceration Of Skin Of Eyelid And Periocular Area, Icd 870.0
Open Wound Of Scalp, 05/04/96, Open Wound Of Scalp, Without Mention Of Complication, Icd 873.0
Open Wound Of Forearm, 05/04/96, Open Wound Of Forearm, Without Mention Of Complication, Icd 881.00

3 Pelvis/exts

05/04/96 Tc 45.62 Other Partial Resection Of Small Intestine, Tp 1
05/04/96 Tc 54.73 Other Repair Of Peritoneum, Tp 2
05/04/96 Tc 50.69 Other Repair Of Liver, Tp 3
05/04/96 Tc 54.12 Reopening Of Recent Laparotomy Site, Tp 4
05/04/96 Tc 78.19 Application Of External Fixation Device, Other, Tp 5
05/04/96 Tc 79.66 Debridement Of Open Fracture Of Tibia And Fibula, Tp 6
05/04/96 Tc 78.17 Application Of External Fixation Device, Tibia And Fibula, Tp 7
05/04/96 Tc 79.36 Open Reduction Of Fracture Of Tibia And Fibula With Internal Fixation, Tp 8
05/04/96 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 9

05/04/96 TRACS Registry Data:

Injury Data: E Code 812.0, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 05/04/96, Accident Position - Driver, EMS Transport - Helicopter

ER Data: Arrival 18:28 05/04/96, S/P MVC, Alert, VS - R32 P98 BP122, GCS 15, EtOH 75, Drug Screen - Cocaine, Base Deficit -11, Hct 26, Head CT - Negative, Abd CT - Positive, ISS 57, ISS 57

Discharge Data: DC Date 05/16/96, Hosp Days 12, ICU Days 6, Vent Days 6, Disposition - Home Health, Hospital Charges $79640, Insurance - Commercial

05/04/96 - 05/16/96 - Hospitalization (12 hospital days) /PW

Case 32

/mm

E812 Auto Vs Auto Accident
808.53 Major Open Pelvic Ring Disruption
848.5 Pubic Symphysis Diastasis
846.1 Rt Sacroiliac Joint Injury
846.1 Lt Sacroiliac Joint Injury
821.01 Rt Femur Shaft Fx
823.32 Rt Open Tibia/fibula Shaft Fx
958.6 Rt Calf Compartment Syndrome
844.8 Rt Calf Muscle Injury
799 Death

S/p Mva, Auto Vs Auto, Driver, Unbelted, Ejected From Vehicle,

Major Open Pelvic Ring Disruption, Associated Bowel Injury, Bilateral Ap Compression 3, Tile C2, Mears B3 (mears B2 (pubic Diastasis, Letournel D, Gr3a Open, Moderate Contamination, Oi4, Rt Si Joint Dislocation, Letournel E, Lt Si Joint Dislocation, Letournel E,

Rt Entire Femur Shaft Fx, Hw4, M32c3.1,

Rt Prox 1/4 Tibia Shaft Fx, Hw4, M42c3.1, Ota3d, Cd, Tloc 12, Gr3b Open, Heavy Contamination, Calf Compartment Syndrome, Oi5: Ac M4, Lc M3, Psc M2, Pdc M2, Prox 1/4 Fibula Shaft Fx, Hw4, Floc 2, Gr3b Open, Heavy Contamination, Oi5, Mess Score: 7,

Fracture Of Pubis-open, 05/09/96, , Icd 808.3
Traum Pneumohemothor-cl, 05/09/96, , Icd 860.4
Fx Femur Nos-closed, 05/09/96, , Icd 821.00
Fx Up Tibia W Fibula-opn, 05/09/96, , Icd 823.12
Traumatic Shock, 05/09/96, , Icd 958.4
Fx Facial Bone Nec-close, 05/09/96, , Icd 802.8
Injury Popliteal Artery, 05/09/96, , Icd 904.41
Ac Posthemorrhag Anemia, 05/09/96, , Icd 285.1
Liver Laceration, Mod, 05/09/96, , Icd 864.03
Spleen Parenchyma Lacer, 05/09/96, , Icd 865.03
Acidosis, 05/09/96, , Icd 276.2

3 Pelvis/exts

05/09/96 Tc 41.5 , Tp 1
05/09/96 Tc 50.29 , Tp 2
05/09/96 Tc 50.69 , Tp 3
05/09/96 Tc 89.64 , Tp 4
05/09/96 Tc 38.91 , Tp 5
05/09/96 Tc 96.71 , Tp 6
05/09/96 Tc 34.04 , Tp 7
05/09/96 Tc 38.93 , Tp 8
05/09/96 Tc 54.25 , Tp 9

05/09/96 TRACS Registry Data:

Injury Data: E Code 816.1, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 05/09/96, Accident Position - Passenger, EMS Transport - Helicopter

ER Data: Arrival 07:14 05/09/96, S/P MVC, Unresponsive, VS - R0 P91 BP0, GCS 7, Trauma Score 2, Airway - Oral ETT, PeriDial - Positive, ISS 43

Discharge Data: DC Date 05/09/96, Hosp Days 1, ICU Days 1, Disposition - Death, Insurance - Commercial

05/09/96 - 05/09/96 - Hospitalization (0 hospital days) /MM

Case 33

15129703

16 WF

/jre

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
805.6 Sacral Fx
848.5 Pubic Symphysis Diastasis

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Mears C1 (1.5 Cm Superior Vertical Dpl), Mears C2 (1.5 Cm Posterior Linear Dpl), Lt Simple Sacral Alar Fx, Assoc Lt Si Joint Dislocation, Pubic Diastasis, Letournel D

3 Pelvis/exts

Case 34

52 F

Emc//kdj

E846, E919 Industrial Accident
823.30 Rt Open Tibia Shaft Fx
843.9 Rt Open Ankle Joint
956.2 Rt Post Tibial Nerve Injury
904.53 Rt Post Tibial Artery Injury
820.22 Rt Subtroch Femur Fx
808.53 Major Open Pelvic Ring Disruption
846.1 Rt Sacroiliac Joint Injury
848.5 Pubic Symphysis Diastasis
902.53 Rt External Iliac Artery Injury
799 Death
415.1 Pulmonary Embolism

S/p Industrial Accident,

Rt Distal 1/3 Tibia Shaft Fx, Distal 1/3 Tibia Shaft Fx, Distal 1/3 Tibia Shaft Fx, Hw1, M42a3.1, Ota1a, Ca, Tloc 678, Gr3c Open, Heavy Contamination, Open Ankle Joint, Oi5: Nv4, Post Tibial Nerve Complete Laceration, Post Tibial Artery Complete Laceration,

Rt Prox 1/3 Femur Shaft Fx, 1 Butterfly Fragments, Hw2, M32b2.1,

Major Open Pelvic Ring Disruption, 3000 L Ebl, Associated Vaginal Injury, Vertical Shear, Tile C1, Mears B2 (mears C1 (rt Si Joint Dislocation, Letournel E, Pubic Diastasis, Letournel D, 9 Cm, Gr3c Open, Heavy Contamination, Assoc Localized Degloving, Oi5: Nv4, Rt External Iliac Artery Complete Laceration,

Pelv Fx-open/pelv Disrup, 02/01/97, Multiple Open Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.53

, 02/01/97, , Icd
Fx Femur Shaft-open, 02/01/97, Fracture Of Shaft Of Femur, Open, Icd 821.11
Fx Tibia W Fib Nos-open, 02/01/97, Open Fracture Of Unspecified Part Of Fibula With Tibia, Icd 823.92
Open Wnd Trunk Nec-compl, 02/01/97, Open Wound Of Other And Unspecified Parts Of Trunk, Complicated, Icd 879.7
Other Gi Injury - Open, 02/01/97, Injury To Other And Unspecified Gastrointestinal Sites With Open Wound Into Cavity, Icd 863.99
Inj Superfic Femoral Art, 02/01/97, Injury To Superficial Femoral Artery, Icd 904.1
Injury Femoral Vein, 02/01/97, Injury To Femoral Veins, Icd 904.2
Traumatic Shock, 02/01/97, Traumatic Shock, Icd 958.4
Early Complic Trauma Nec, 02/01/97, Other Early Complications Of Trauma, Icd 958.8

5 Pelvis/exts

02/01/97 Tc 46.11 Temporary Colostomy, Tp 1
02/01/97 Tc 38.88 Other Surgical Occlusion Of Lower Limb Arteries, Tp 2
02/01/97 Tc 38.89 Other Surgical Occlusion Of Lower Limb Veins, Tp 3
02/01/97 Tc 78.19 Application Of External Fixation Device, Other, Tp 4
02/01/97 Tc 84.17 Amputation Above Knee, Tp 5
02/01/97 Tc 86.22 Excisional Debridement Of Wound, Infection, Or Burn, Tp 6
02/01/97 Tc 34.04 Insertion Of Intercostal Catheter For Drainage, Tp 7
02/01/97 Tc 34.04 Insertion Of Intercostal Catheter For Drainage, Tp 8
02/01/97 Tc 54.12 Reopening Of Recent Laparotomy Site, Tp 9
02/01/97 Tc 99.60 Cardiopulmonary Resuscitation, Not Otherwise Specified, Tp 10

02/01/97 TRACS Registry Data:

Injury Data: E Code 919.0, Trauma Type - Blunt, Injury Date 02/01/97, EMS Transport - Helicopter

ER Data: Arrival 13:45 02/01/97, S/P Machine, Alert, VS - R24 P88 BP96, EtOH 0, Base Deficit -9, Hct 19, ISS 34, ISS 34

Discharge Data: DC Date 02/01/97, Hosp Days 1, ICU Days 0, Disposition - Death, Hospital Charges $16623, Insurance - Commercial

Case 35

69 WF

Cm/pw

Pelvic Fx

Aortic Dissection

808.43 Major Pelvic Ring Disruption
846.1 Lt Sacroiliac Joint Injury
805.6 Sacral Fx
808.2 Lt Pubic Fx
808.2 Rt Pubic Fx

Major Pelvic Ring Disruption, Ap Compression 3, Tile C1, Mears C1 (lt Impacted Sacral Alar Fx, Assoc Lt Si Joint Dislocation, Lt Simple Pubic Ramus Fx, Rt Simple Pubic Ramus Fx, Letournel A2,

Injury Thoracic Aorta, 07/29/97, Injury To Thoracic Aorta, Icd 901.0
Cl Fx Disrupt Pelv Circ, 07/29/97, Multiple Closed Pelvic Fractures With Disruption Of Pelvic Circle, Icd 808.43
Fracture Of Pubis-closed, 07/29/97, Closed Fracture Of Pubis, Icd 808.2
Fracture Of Ilium-closed, 07/29/97, Closed Fracture Of Ilium, Icd 808.41
Fx Sacrum/coccyx-closed, 07/29/97, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx Lumbar Vertebra-clsd, 07/29/97, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
Fx Mult Ribs Nos-closed, 07/29/97, Closed Fracture Of Multiple Ribs, Unspecified, Icd 807.09
Lung Contusion-closed, 07/29/97, Contusion Of Lung Without Open Wound Into Thorax, Icd 861.21
Ac Posthemor Anemia, 07/29/97, Acute Posthemorrhagic Anemia, Icd 285.1
Pneumonia, Organism Nos, 07/29/97, Pneumonia, Organism Unspecified, Icd 486
Pulmonary Collapse, 07/29/97, Pulmonary Collapse, Icd 518.0
Posttr Pulmon Insuff, 07/29/97, Pulmonary Insufficiency Following Trauma And Surgery, Icd 518.5
Mech Comp Int Orth Dev, 07/29/97, Mechanical Complication Of Internal Orthopedic Device, Implant, And Graft, Icd 996.4
Acidosis, 07/29/97, Acidosis, Icd 276.2
Atrial Fibrillation, 07/29/97, Atrial Fibrillation, Icd 427.31

3 Pelvis/exts

8/6 L Sacral Orif

Or Data From 07/30/1997 - Case 175163, 39.590 Repair Of Aortic Rupture/tear/dissection/decending Thoracic Trauma, Anestimes 02:1506:3602:15, Surgtimes 02:4306:30, General Wedforane, Meadox Pledgets, Meadox 175420 Woven Vascular Graft

Or Data From 08/06/1997 - Case 175644, 79.850 Orif Of Pelvis, Anestimes 08:3011:5008:30, Surgtimes 08:5411:38, General Wedisoflurane, Synthes 294.67 Schanz Screw, Synthes 310.25 Drill Bit, Synthes 204.810 3.5 Cortical Screw, Synthes 204.814 3.5 Cortical Screw, Synthes 204.816 3.5 Cortical Screw, Synthes 204.818 3.5 Cortical Screw, Synthes 204.822 3.5 Cortical Screw, Synthes 204.834 3.5 Cortical Screw, Synthes 204.836 3.5 Cortical Screw, Synthes 206.030 4mm Cancellous Screw, Synthes 206.035 4mm Cancellous Screw, Synthes 206.040 4mm Cancellous Screw, Synthes 218.025 6.5 Cancellous Scre, Synthes 218.035 6.5 Cancellous Screw, Synthes 218.040 6.5 Cancellous Screw, Synthes 245.17 3.5 Recon Palte, Synthes 245.18 3.5 Recon Plate, Synthes 229.33 4.5 Recon Plate, Synthes 329.40 Template, Synthes 310.23 Drill Bit, Synthes 310.29 Drill Bit, Synthes 218.050 6.5 Cancellous Screw, Synthes 218.055 6.5 Cancellous Screw, Synthes 218.060 6.5 Cancellous Screw, Synthes 218.070 6.5 Fully Threaded Cancellous Screw, Richars 41-0236 Guide Pin, Richards 121637 Cannulated Screw

Or Data From 08/08/1997 - Case 175808, No Procedure Code/name, Anestimes 12:5814:0012:58, Surgtimes 13:0813:46, General Friforane, No Implant Data

Or Data From 08/14/1997 - Case 176134, 31.1 Tracheostomy, Anestimes 07:4209:0707:42, Surgtimes 08:1109:02, General Thusevoflurane, Shiley 6dct Trach Tube Cuffed

07/29/97 Tc 31.29 Other Permanent Tracheostomy, Tp 1
07/29/97 Tc 38.45 Resection Of Other Thoracic Vessels With Replacement, Tp 2
07/29/97 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 3
07/29/97 Tc 78.69 Removal Of Implanted Device From Other, Tp 4
07/29/97 Tc 88.42 Aortography, Tp 5
07/29/97 Tc 39.64 Intraoperative Cardiac Pacemaker, Tp 6
07/29/97 Tc 34.04 Insertion Of Intercostal Catheter For Drainage, Tp 7
07/29/97 Tc 96.72 Continuous Mechanical Ventilation For 96 Consecutive Hours Or More, Tp 8

07/29/97 TRACS Registry Data:

Injury Data: E Code 812.0, Injury Site - E849.5, Trauma Type - Blunt, Injury Date 07/29/97, Accident Position - Driver, EMS Transport - Ambulance

ER Data: Arrival 20:37 07/29/97, S/P MVC, Alert, VS - R20 P67 BP126, GCS 15, Base Deficit -5, Hct 28, Head CT - Negative, Abd CT - Negative, Arteriogram - Positive, ISS 38, ISS 38

Discharge Data: DC Date 08/28/97, Hosp Days 29, ICU Days 25, Vent Days 22, Disposition - SNF, Hospital Charges $155092, Insurance - Medicare

07/29/97 - 08/25/97 - Hospitalization (27 hospital days) CM/PW

Case 36

97 HM

Txx:et/kdj

L Ant Column Fx, L Type Ii Sacral Fx

L 5th Mt Fx, R Fib Fx

808.43 Major Pelvic Ring Disruption
805.6 Sacral Fx
808.2 Lt Pubic Fx

Major Pelvic Ring Disruption, Vertical Shear, Tile C1, Lt Simple Transforaminal Sacral Fx, 20 Cm Dpl, Denis 2, Letournel C, Seattle 3, Lt Comminuted Pubic Ramus Fx, 6 Mm Dpl,

Fracture Of Pubis-closed, 09/03/1998, Closed Fracture Of Pubis, Icd 808.2
Fracture Acetabulum-clsd, 09/03/1998, Closed Fracture Of Acetabulum, Icd 808.0
Fx Sacrum/coccyx-closed, 09/03/1998, Closed Fracture Of Sacrum And Coccyx Without Mention Of Spinal Cord Injury, Icd 805.6
Fx Shaft Fibula-closed, 09/03/1998, Closed Fracture Of Shaft Of Fibula, Icd 823.21
Fx Metatarsal-closed, 09/03/1998, Fracture Of Metatarsal Bone(s), Closed, Icd 825.25
Fx Lumbar Vertebra-clsd, 09/03/1998, Closed Fracture Of Lumbar Vertebra Without Mention Of Spinal Cord Injury, Icd 805.4
Traumatic Shock, 09/03/1998, Traumatic Shock, Icd 958.4

3 Pelvis/exts

Orif Pelvis 9/9, Ambul Wbat R/nwb L, Cast Or Bb R Foot

Or Data From 09/09/1998 - Case 200859, 79.850 Orif Of Pelvis, Anestimes 08:2011:3808:20, Surgtimes 06:1107:4509:0611:26, General Wedforane, Synthes 219.99 Washer, Synthes 209.850 32mm Thread Used Inv., Synthes 292.68 2.8 Mm Guide Wire

09/03/1998 Tc 79.39 Open Reduction Of Fracture Of Other Specified Bone, Except Facial Bones, With Internal Fixation, Tp 1
09/03/1998 Tc 38.91 Arterial Catheterization, Tp 2

09/03/1998 TRACS Registry Data:

Injury Data: E Code 882, Injury Site - E849.3, Trauma Type - Blunt, Injury Date 09/03/1998, EMS Transport - Helicopter

ER Data: Arrival 13:50 09/03/1998, S/P Fall, Alert, VS - R20 P67 BP134, GCS 15, EtOH 0, Hct 38, Abd CT - Negative, ISS 25, ISS 25

Discharge Data: DC Date 09/11/1998, Hosp Days 8, ICU Days 1, Vent Days 0, Disposition - STALLWORTH, Hospital Charges $37965, Insurance - Workers Comp

09/03/98 - 9/12/98 - Hospitalization (9 hospital days) TXX:ET/KDJ

09/29/98 OR Scheduling - Request Date: 10/02/98 PreOp CPT(s): 20680 Duration (mins): 45 Hospital Stay (days): 0