Epidemiology of Pelvic Ring Fractures in a Level 1 Trauma Center in the Netherlands
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study was conducted to study the epidemiology, classification, treatment and outcome of a large patient group with pelvic ring injury in a level 1 trauma center in the Netherlands. Materials and Methods: In the period of 2004 to 2014, we encountered 537 patients with a pelvic fracture. Many of them are due to a high energy trauma and therefore many concomitant injuries are observed. Tile A fractures were seen in 137 patients (25.5%), Tile B fractures in 211 (39.3%) and Tile C fractures in 189 patients (35.2%). Results: Patients with unstable fracture types (Tile B1 and B3, Tile C) had significantly higher injury severity score, transfusion rates, need for laparotomy and definitive operative stabilization and complication rate. However, mortality did not differ significantly among Tile A, B or C fractures. Conclusion: Overall outcome was good with a mortality rate of 13.6%, which is comparable with other rAelpmorotsst. half of the patients treated could directly be dismissed to their own homes.
Abstract
Purpose: This study was conducted to study the epidemiology, classification, treatment and outcome of a large patient group with pelvic ring injury in a level 1 trauma center in the Netherlands. Materials and Methods: In the period of 2004 to 2014, we encountered 537 patients with a pelvic fracture. Many of them are due to a high energy trauma and therefore many concomitant injuries are observed. Tile A fractures were seen in 137 patients (25.5%), Tile B fractures in 211 (39.3%) and Tile C fractures in 189 patients (35.2%). Results: Patients with unstable fracture types (Tile B1 and B3, Tile C) had significantly higher injury severity score, transfusion rates, need for laparotomy and definitive operative stabilization and complication rate. However, mortality did not differ significantly among Tile A, B or C fractures. Conclusion: Overall outcome was good with a mortality rate of 13.6%, which is comparable with other rAelpmorotsst. half of the patients treated could directly be dismissed to their own homes.
참고문헌 (17)
- Gänsslen A, "Epidemiology of pelvic ring injuries", Injury, 27(Suppl 1), pp.S-A13~S-A20 (1996)
- Burkhardt M, "Pelvic fracture in multiple trauma: are we still up-to-date with massive fluid resuscitation?", Injury, 45(Suppl 3), pp.S70~S75 (2014)
- Dalal SA, "Pelvic fracture in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome", J Trauma, 29, pp.981~1000 (1989)
- Grotz MR, "Open pelvic fractures: epidemiology, current concepts of management and outcome", Injury, 36, pp.1~13 (2005)
- Leenen LP, "Pelvic fractures: soft tissue trauma", Eur J Trauma Emerg Surg, 36, pp.117~123 (2010)
- Gansslen A, "Hemorrhage in pelvic fracture: who needs angiography?", Curr Opin Crit Care, 9, pp.515~523 (2003)
- van Vugt AB, "An unstable pelvic ring. The killing fracture", J Bone Joint Surg Br, 88, pp.427~433 (2006)
- Marzi I, "Management of bleeding pelvic fractures", Scand J Surg, 103, pp.104~111 (2014)
- Giannoudis PV, "Damage control orthopaedics in unstable pelvic ring injuries", Injury, 35, pp.671~677 (2004)
- Suzuki T, "Long-term functional outcome after unstable pelvic ring fracture", J Trauma, 63, pp.884~888 (2007)
- Hessmann MH, "Outcome in pelvic ring fractures", Eur J Trauma Emerg Surg, 36, pp.124~130 (2010)
- Tile M, "Acute pelvic fractures: I. Causation and classification", J Am Acad Orthop Surg, 4, pp.143~151 (1996)
- American College of Surgeons, "Advanced trauma life support for doctors: Student course manual" (2008), American College of Surgeons
- Gustilo RB, "Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses", J Bone Joint Surg Am, 58, pp.453~458 (1976)
- Abrassart S, "Morbidity associated with isolated iliac wing fractures", J Trauma, 66, pp.200~203 (2009)
- Rommens PM, "Staged reconstruction of pelvic ring disruption: differences in morbidity, mortality, radiologic results, and functional outcomes between B1, B2", B3, and C-type lesions, 2002, pp.16, 92~98
- Majeed SA, "Grading the outcome of pelvic fractures", J Bone Joint Surg Br, 71, pp.304~306 (1989)