Trauma of the Pelvic Ring: Epidemiological and Etiopathogenic Aspects

Diouf, A.

doi:10.26717/bjstr.2018.04.0001016

Cited by 4 publications

(8 citation statements)

References 13 publications

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“…This study revealed that 36/64 (56.3%) sustained pelvic fracture from road traffic accident and 18/64 (28%) a fall down which is similar to the study done in UK (62.9% and 30.6% respectively) 23 and in Tanzania RTA accounts for 80% 29 so did in west Africa in which RTA accounts for 79% 26 and Taiwan (62%). 30 In this study among the cases of RTA, the majority of victims of pelvic fracture was passengers accounted for 66.7%, followed by pedestrians 10 (27.8%) and drivers 2 (5.6%) which is similar with the study done at Addis Ababa, RTA accounts for 19 people (49%) followed by pedestrian 15 (38%) and drivers 5 (13%).…”

Section: Discussionsupporting

confidence: 85%

“… 23–25 The age distribution of pelvic fracture patients in TGSH was a mean of 31.93 years (SD ± 12.1) and mode and median of 35 and 29 years respectively with male predominance (87.5%). This result is supported by a study done in Saudi Arabia, 25.3±16.8 years range and male 64.3%, 22 West Africa, mean age 34.3 years sex ratio 2:1, 26 but lower and reverse to the study done in Miami, 64.5 years ± 25.6 years and 69.7% were female. 27 The possible reason might be in Ethiopia, the majority of the population is young, and males predominantly run the economy of the household which in turn increases accidents and pelvic fracture among men and the young age group.…”

Section: Discussionsupporting

confidence: 66%

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Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia

Ferede

Ayenew

Belay

2021

ORR

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Background Pelvic fractures are high-risk injuries that require careful evaluation due to significant patient morbidity and mortality associated with damage to major blood vessels, nerves, and organs. Thus, the aim of this study was to assess pelvic fractures and associated injuries among patients presented at the emergency department of Tibebe Ghion Specialized Hospital, Bahir Dar, Ethiopia. Methods This is a cross-sectional study with a retrospective facility-based data collection technique. All patients who were managed for pelvic fracture from September 2018 to February 2021 were included. The patient’s chart number was collected from the orthopedics surgery morning register sheet and their case folders were retrieved from the medical record department. We used a structured and pretested checklist, and chart review for data collection. The collected data were cleaned, coded, and entered into Epi Info version 7 and exported to SPSS version 24 for analysis. Binary logistic regression analysis was used to identify factors associated with a pelvic fracture. Results We studied 64 cases of pelvic fracture during the study period. Pelvic was common among males with a ratio of 7:1 and young population (15–35 years). The most common associated injuries were lower extremity 23 (35.9%), abdominal injuries 16 (25.0%), and urethral injury in 13 (20.3%). Moreover, most patients with pelvic fracture have Tile A fracture 56.3%, Tile C in 20 (31.3%), and Tile B in 8 (12.5%) patients. The road traffic accident was the most common cause of pelvic fracture in 56.3%, followed by fall down accident (28.1%), and bullet injury (12.5%). Conclusion The incidence of pelvic fracture was high in the study area. It reflects the need for strong and multi-sectoral collaboration to prevent pelvic fracture. Additionally, it needs a careful, systematic management approach for survival, healing, and to address the associated complexities and the polytrauma nature.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 66%

Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia

Ferede

Ayenew

Belay

2021

ORR

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“…The leading cause of the tibial fracture was road tra c accident in 35.8% followed by bullet injury 28.3%. The result was in line with study done in United Kingdom (27), in Tanzania RTA accounts for 80% (28) so did in west Africa in which RTA accounts for 79% (29), Taiwan (62%) (30), and Turkey(26). This could be explained as road tra c accident, gunshot, and war is a common public health problem in Ethiopia, and the World health organization categorized Ethiopia as one of the worst countries in the world (31).…”

Section: Outcome Of Open Tibial Facture Treated With External Xationsupporting

confidence: 90%

Outcome of open tibial shaft fractures treated by using external fixation as a primary and definitive treatment in Tibebe Ghion specialized hospital, Bahir Dar University, Ethiopia

Ayenew

Mulat

Ferede

2022

Preprint

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Background: The treatment of open tibial shaft fracture is very challenging especially in developing counters like Ethiopia where medical equipment’s, orthopedic experts are scarce, and poor economy and health seeking behavior. In orthopedics and trauma surgery, external fixation is comparatively safe in treating tibial open injuries, meanwhile it has advantage of minimal disruption, convenient subsequent soft tissue repair and easy application. However, the procedure is accompanied by a serious of problems in bone healing and alignment. Therefore, this study aimed to assess the outcome of open tibial shaft fractures treated by using external fixation as a primary and definitive treatment in Tibebe Ghion specialized hospital, Bahir Dar University, Ethiopia.Methods: This is a cross-sectional study with a retrospective facility-based data collection technique. All patients who were managed for open tibial shaft facture from September 2018 to February 2021 were included. The patient's chart number were collected from the Orthopedics surgery morning register sheet and their case folders were retrieved from the medical record department. We used a structured and pretested checklist, and chart review for data collection. The collected data was cleaned, coded, and entered into EPI-Info version 7 and exported to SPSS version 24 for analysis. Binary logistic regression analysis was used to identify factors associated with a pelvic fracture.Result: We studied 53 cases of open tibial shaft fracture during the study period. The majority of cases were from rural area (66%), and open tibial shaft fracture were common among males (67.9%). The mean age of patients was 34 ± 14 SD years, and the commonly affected age group was between 21 to 40 years (49.1%) followed by 41-60years (32.1%). The leading cause of the open tibial fracture was road traffic accident 19(35.8%) followed by bullet injury in 15(28.3%) of patients. For more than 2/3 of the patients debridement was done within 24 hours of injury and antibiotics was provided for 98.1% of patients. More than half (58%) were categorized under GAIIIB, the average time for hospitalization was 2-14 days, and the mean follow up time was 18±6 SD months. Among the included patients 64% developed surgical site infection, 15.1% developed mal-union, and 24.5% developed non-union after the procedure. Additionally, the mean time of bone union was 20.1±4 weeks and the mean duration of external fixation use was 18 weeks.Conclusion: the majority of patients with open tibial fracture were rural residents, male and younger population. The leading cause of the open tibial fracture was road traffic accident followed by bullet injury. The majority of open tibial fracture patients in this study were diagnosed as GAIIIB fracture. Using external fixation as a definitive treatment for open tibial fracture results a high rate of infection, bone mal-union, and non-union. Thus, health facilities and health care professionals working on this area should revise the procedure to promote better stability, to decrease the risk of surgical site infection, and miss alignment and delayed union. Additionally, to reduce tibial fracture and its complication, interventional programs to reduce car accident, and effective treatment, characterization of thee fracture is crucial to guide the decision making process for better management of patients for survival, healing, improvement of patients, and for better clinical outcome in patients with open tibial fracture.

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“…Management of unstable pelvic fractures still remains one of the major challenges in orthopaedic practice in limited resource communities where the burden of injury is on the rise [ 4 , 5 ]. Most patients present with severe associated injuries that are difficult to treat with the diagnostic and therapeutic means available in the local facilities [ 6 ]. Injured victims with unstable pelvic fractures are best initially managed by a multidisciplinary trauma team that should include a trauma surgeon, orthopaedic surgeon, radiologist with interventional radiology abilities, urologist and a neurosurgeon [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Injured victims with unstable pelvic fractures are best initially managed by a multidisciplinary trauma team that should include a trauma surgeon, orthopaedic surgeon, radiologist with interventional radiology abilities, urologist and a neurosurgeon [ 7 ]. This multidisciplinary team is lacking or not well organised when available in most hospital settings in low- and low-middle-income countries [ 4 , 6 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of unstable pelvic fractures treated in a level III hospital in a developing country: a 10-year prospective observational study

et al. 2022

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Background Unstable pelvic fractures are severe and life-threatening injuries with high morbi-mortality rates. Management of these fractures is a major challenge in orthopaedic practice in limited resource communities. The aim of this study is to evaluate the functional outcome of unstable pelvic fractures managed in a hospital with limited diagnostic and therapeutic facilities. Methodology This was a hospital-based prospective observational study carried out from 1st of January 2009 to 31st of December 2018 at the Limbe Regional Hospital, a level III health institution in the South-West region of Cameroon. Results A total of 68 patients were included in the study. The ages ranged from 18 to 80 years with a mean age of 39 ± 5 years. The average follow-up duration at the latest visit was 36 months (range 3–84 months). There were 59 cases that were evaluated. The overall average Majeed score was fair. Poor outcomes were noted in patients aged 60 years and above, those with co-morbidities, and those managed conservatively. Conclusion Although the functional outcomes following unstable pelvic fractures 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, consequently affecting the functional outcome.

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Trauma of the Pelvic Ring: Epidemiological and Etiopathogenic Aspects

Cited by 4 publications

References 13 publications

Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia

Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia

Outcome of open tibial shaft fractures treated by using external fixation as a primary and definitive treatment in Tibebe Ghion specialized hospital, Bahir Dar University, Ethiopia

Functional outcome of unstable pelvic fractures treated in a level III hospital in a developing country: a 10-year prospective observational study

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