Donald E. Newland, M.D.
JAMA. 1953;152(16):1515-1520. doi:10.1001/jama.1953.03690160015005.
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This age of speed and great industrialization in which we are living has resulted in a considerable increase in the incidence of pelvic fractures. The frequency of associated urologic complications has risen in proportion. The effect of the automobile and the airplane on the frequency of these injuries, as well as their complications, is readily appreciated by references to the literature. Thirty-five years ago, only 4% of the cases of ruptured bladder were due to vehicular accidents.1 Twenty years ago, Noland and Conwell2 found that 35% of the cases of pelvic fracture were due to this cause, while only five years ago, Butt and Moore3 reported that 73% of their cases were related to such accidents.

It has long been known that the cause of death, in those patients who had pelvic fractures complicated by injury to the urinary tract and who survived the initial injury, was


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