Epidemiology of Pelvic Ring Fractures in a Level 1 Trauma Center in the Netherlands

Hermans, Erik; Biert, J.; Edwards, Michael J.

doi:10.5371/hp.2017.29.4.253

Cited by 33 publications

(26 citation statements)

References 17 publications

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“…Tile A classification of pelvic fracture is the most common type of pelvic fracture in the present cohort, which is similar to some of the studies that reported stable fractures as the most frequent fracture type [40]. On the other hand, an earlier study from the Netherlands reported Tile B fractures to be predominantly followed by Tile C and Tile A fractures [41].…”

Section: Discussionsupporting

confidence: 90%

Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study

et al. 2020

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Background: Traumatic pelvic fracture (TPF) is a significant injury that results from high energy impact and has a high morbidity and mortality. Purpose: We aimed to describe the epidemiology, incidence, patterns, management, and outcomes of TPF in multinational level 1 trauma centers. Methods: We conducted a retrospective analysis of all patients with TPF between 2010 and 2016 at two trauma centers in Qatar and Germany. Results: A total of 2112 patients presented with traumatic pelvic injuries, of which 1814 (85.9%) sustained TPF, males dominated (76.5%) with a mean age of 41 ± 21 years. In unstable pelvic fracture, the frequent mechanism of injury was motor vehicle crash (41%) followed by falls (35%) and pedestrian hit by vehicle (24%). Apart from both extremities, the chest (37.3%) was the most commonly associated injured region. The mean injury severity score (ISS) of 16.5 ± 13.3. Hemodynamic instability was observed in 44%. Blood transfusion was needed in one third while massive transfusion and intensive care admission were required in a tenth and a quarter of cases, respectively. Tile classification was possible in 1228 patients (type A in 60%, B in 30%, and C in 10%). Patients with type C fractures had higher rates of associated injuries, higher ISS, greater pelvis abbreviated injury score (AIS), massive transfusion protocol activation, prolonged hospital stay, complications, and mortality (p value < 0.001). Two-thirds of patients were managed conservatively while a third needed surgical fixation. The median length of hospital and intensive care stays were 15 and 5 days, respectively. The overall mortality rate was 4.7% (86 patients). Conclusion: TPF is a common injury among polytrauma patients. It needs a careful, systematic management approach to address the associated complexities and the polytrauma nature.

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Section: Discussionsupporting

confidence: 90%

Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study

et al. 2020

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“…In accordance with our findings Erik Hermans, et al, [14] stated that type B and subtype B2 were the most common. Akbar B Tilyakov, et al, [15] stated that type B was the most common type.…”

Section: Discussionsupporting

confidence: 93%

Role of Multidetector Computed Tomography with Three Dimension Reconstruction in Evaluation of Pelvic Fractures

EL-GALEEL¹,

EL-BARBARY

2019

The Medical Journal of Cairo University

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Background: Pelvic fracture is a serious injury that may be associated with high morbidity and mortality. MDCT is more frequently used for accurate evaluation of pelvic fractures. Aim of Study:The aim of this work is to evaluate the role of multidetector CT with three dimension reconstruction in diagnosis of pelvic fractures.Patients and Methods : This prospective study included 70 patients who presented with pelvic fractures and referred from outpatient clinics of Orthopedic Department to the Radiology and Medical Imaging Department, Tanta University Hospital. The present study was performed in the period between February 2018 and March 2019. Their ages ranged from 4 to 82 years; 45 of them were males and 25 were females. All cases underwent multidetector computed tomography as a rapid, noninvasive diagnostic tool, and the findings were compared with those of plain X-ray.Results: According to our results patients with partial unstable pelvic ring fractures (Tile type B) had higher incidence than stable fractures (54.28%), followed by stable Tile A fractures (28.57%). Young Burgess lateral compression fractures had significantly higher incidence (68.57%) especially Young Burgess subtype LC1 (54.28%). All sacral fractures were associated with pelvic ring fratures, Denis zone I was the most common (54.28%). The elementary Judet-Letournel acetabular fractures were the most common (58.82%) especially type posterior wall (20.58%). Hip dislocations and femur head fractures were rare, represented only by 4 cases for each. The most common hip dislocation type was the posterior dislocation represented only by 2 cases (50%). Conclusion:MDCT with 3D has numerous advantages and accurate in diagnosis of pelvic fratures.

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“…Tile A classification of pelvic fracture was the commonest type of pelvic fracture in the present cohort which is similar to some of the studies that reported stable fractures as the most frequent fracture type [30]. On the other hand, an earlier study from the Netherlands reported Tile B fractures to be predominantly followed by Tile C and Tile A fractures [31].…”

Section: Discussionsupporting

confidence: 89%

Patterns, Management and Outcomes of Traumatic Pelvic Fracture: Insights from A Multicenter Study

Abdelrahman

El‐Menyar

Keil

et al. 2020

Preprint

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Purpose we aimed to describe traumatic pelvic fracture in multinational level 1 trauma centers. Methods We conducted a retrospective analysis for all patients with traumatic pelvic fracture (TPF) between 2010 and 2016 at 2 trauma centers in Qatar and Germany. Results A total of 2112 patients presented with traumatic pelvic injuries of which 1814 (85.9%) sustained TPF, males dominated (76.5%) with a mean age of 41.2±21.1 years. Falls, motor vehicle crashes and pedestrians were the most frequent mechanisms involved. Chest (37.3%) was the most commonly associated injured region, with mean injury severity score (ISS) of 16.5±13.3. Hemodynamic instability was observed in 44%, blood was needed in a third, massive transfusion in a tenth and intensive care admission in a quarter of cases. Tile classification was possible in 1228 patients (type A in 60%, B in 30% and C in 10%). Patients with type C had higher rates of associated injuries, ISS, pelvis abbreviated injury score (AIS), more need for blood transfusion, massive transfusion protocol activation, prolonged hospital stay, higher rate for surgery, complications, and mortality (p<0.001). Two-thirds of patients were managed conservatively while a third needed surgical fixation. The median length of hospital and intensive care stay were 15 and 5 days, respectively. In-hospital complications were few and the overall mortality rate was 4.7% (86 patients). Conclusion pelvic fracture is a common injury. It needs a careful multidisciplinary and systematic approach to address the associated complexities and polytrauma nature in order to improve the associated outcomes both on a short and long-term basis.

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Epidemiology of Pelvic Ring Fractures in a Level 1 Trauma Center in the Netherlands

Cited by 33 publications

References 17 publications

Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study

Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study

Role of Multidetector Computed Tomography with Three Dimension Reconstruction in Evaluation of Pelvic Fractures

Patterns, Management and Outcomes of Traumatic Pelvic Fracture: Insights from A Multicenter Study

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