Pelvic and Acetabular Tertiary Referral Service

Welcome to the Pelvic and Acetabular Tertiary Referral Service at St George’s University Hospitals NHS Foundation Trust

St George’s University Hospitals NHS Foundation Trust is a tertiary referral centre for patients with Pelvic and Acetabular injuries and conditions

St George’s University Hospitals NHS Foundation Trust is the designated Major Trauma Centre for the South West London and Surrey Trauma Network

The South West London and Surrey Trauma Network includes 8 Trauma Units. These are: Croydon University Hospital; East Surrey Hospital; Epsom Hospital; Frimley Park Hospital; Kingston Hospital; St Helier Hospital; St Peter’s Hospital Chertsey; and The Royal Surrey County Hospital Guildford.

Criteria for Tertiary Referral

Your patient MUST have been admitted to an in-patient area BEFORE referral.
Your patient MUST have been reviewed by Orthopaedics BEFORE referral.

The list below denotes patients who ARE NOT suitable for tertiary referral. These groups require urgent transfer to YOUR designated Major Trauma Centre (please be aware that this may not be St George’s Hospital). As soon as urgent transfer to YOUR designated Major Trauma Centre is deemed to be clinically required and clinically safe then this must be arranged as an ED to ED transfer adhering to local Trauma Network protocols.

1. 1. Polytrauma
   2. Haemodynamic instability due to pelvic / acetabular injury
   3. Neurological instability due to pelvic / acetabular injury
   4. Irreducible or unreduced hip dislocation
   5. Open pelvic fracture (urological, gynaecological, perineal, colorectal, abdominal, groin or buttock soft tissue trauma resulting from pelvic injury)
   6. Open book pelvic fracture
   7. Vertical shear pelvic fracture

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