Outcome After Pelvic Ring Injuries

Gänsslen, Axel; Lindahl, Jan

doi:10.1007/978-3-030-54730-1_43

Cited by 1 publication

(1 citation statement)

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“…Regarding the mechanism of injury, it was observed that road traffic accidents were the most frequent causes of injuries, accounting for 73.53% of the cases, and mostly involved transportation vehicles like cars, trucks and motorcycles. This is consistent with results from other studies in which these injuries were caused by motor vehicles accidents [14] [25] [26]. Although the functional outcomes following pelvic injuries have improved with modernised diagnostic and therapeutic modalities, it is not the case in poor resource settings where the lack of these modalities makes the management challenging [30].…”

Section: Discussionsupporting

confidence: 90%

A Retrospective Analysis of the Patterns and Outcomes of Tile B and Tile C Pelvic Fractures in Cameroon

Nana¹,

Gustave²,

Marie-Ange³

et al. 2023

OJO

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Background: Pelvic fractures constitute about 2% -8% of all fractures. This incidence may rise up to 25% in poly-traumatised patients. These fractures have a high mortality rate due to the fact that they occur usually as a result of high energy trauma, and most of the injured are poly-traumatised with concomitant haemodynamic instability. The aim of this study is to describe the patterns of injury and complications of unstable pelvic fractures treated in a level III hospital in Cameroon. Methodology: This was a hospital based retrospective analysis of files of patients admitted and treated for unstable pelvic fractures at the Regional Hospital Limbe within a period of 10 years (from 1 st of January 2009 to 31 st of December 2018). Results: A total of 139 cases of pelvic fractures were identified, amongst which 77 were unstable; 68 were finally analyzed. The ages ranged from 18 to 80 years with a mean of 39 ± 5 years. The age group from 20 -40 years was most represented (58.88%, n = 40). There were 45 males and 23 females giving a sex-ratio of 2:1. Road traffic injuries accounted for most of the cases (73.53%, n = 50). Forty-five (66.2%) were classified Tile B and 23 (33.82%) were Tile C, and 15 cases were open fractures (22.06%). Associated lesions were recorded in 30 cases, fractures of the lower extremity being the most common (33.33%, n = 10). Most of the cases were definitively treated surgically (80.89%, n = 55). The most common complications were surgical site infections (23.64%, n = 13). Conclusion: Unstable pelvic fractures are relatively common. Young males in the age group 20 -40 years are the most affected, and the most common cause of injury was road traffic accident. Surgical site infections, pressure ulcers, severe

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Section: Discussionsupporting

confidence: 90%