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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2020

01-12-2020 | Pelvic Trauma | Research article

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

Authors: Husham Abdelrahman, Ayman El-Menyar, Holger Keil, Abduljabbar Alhammoud, Syed Imran Ghouri, Elhadi Babikir, Mohammad Asim, Matthias Muenzberg, Hassan Al-Thani

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2020

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Abstract

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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Metadata
Title
Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
Authors
Husham Abdelrahman
Ayman El-Menyar
Holger Keil
Abduljabbar Alhammoud
Syed Imran Ghouri
Elhadi Babikir
Mohammad Asim
Matthias Muenzberg
Hassan Al-Thani
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Pelvic Trauma
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2020
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-020-01772-w

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