Correlation of Pelvic Fractures and Associated Injuries: The Statistical Analysis of 471 Pelvic Trauma Patients

Abstract

BACKGROUND:In most respects, the vast majority of pelvic injuries is not of a life-threatening status, but co-presence of other injuries needs to be diagnosed. This study aims to evaluate associated pelvic and extra-pelvic visceral organ injuries of the patients with closed pelvic fractures. METHODS:This retrospective study was conducted with 471 adult patients who had been admitted to our Emergency Service with the diagnosis of pelvic fractures. Type of fractures, accompanying visceral organ injuries, the demographic data, type of operation, mortality rates were recorded and analysed statistically. RESULTS:The rate of operations carried out by the general surgery clinic or other surgical clinics in each type of fracture according to AO classification did not differ (p=0.118). In patients with A2, A3 and B1 types of fractures, the operation rate of general surgery clinic did not show a significant difference. However, most of the patients who had extrapelvic surgery were in the mild severity pelvic trauma, such as AO A2 and A3. A total of 31 patients were ex-patients, 17 of whom had AO-A2 type of fractures. The findings showed that there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgery types (p<0.001). There was no significant difference between the types of surgery performed and Abdominal CT outcome, which was normal (p=0.215). CONCLUSION:In the management of patients with pelvic fractures irrespective of its type or grade, the findings suggests that greater attention should be paid to not to overlook the associated injuries. Early blood and imaging tests are encouraged after the patient's hemodynamic status is stabilized.

Epidemiology Of Pelvic Ring Fractures and Injuries: A Retrospective Study

“…The predominance of people of Asian ethnicity among the patients is due to the predominance of the indigenous population of the Republic of Kazakhstan. It should be noted that pelvic fractures are subject of men of economically active working age [14]. However, according to some foreign authors, the frequency of fractures among men is 2.73/10,000 (2.48-3.01), among women significantly higher -5.82/10,000 (5.46-6.20) [9], [10].…”

Pedicle screw-rod fixation and pelvic external fixation for the treatment of unstable pelvic ring fracture

“…Unstable pelvic fracture is the manifestation of pelvic ring destruction under direct or indirect violence which may be life-threatening [12]. It requires a careful and interdisciplinary decision-making regarding the therapeutic regime [2].…”

Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: case-control study

“…Pelvic fractures are often caused by high-energy injuries, often accompanied by abdominal organs, blood vessels, nerve injuries, and with many complications and high mortality [1][2][3][4]. Once the pelvic fracture affects the integrity of ligaments and muscle structures, the stability of the sacroiliac joint will also be destroyed, causing the posterior ring of the pelvis to become unstable [5].…”