Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2019 / Cilt: 25 - Sayı: 5

Correlation of pelvic fractures and associated injuries: An analysis of 471 pelvic trauma patients

Pelvik kırıklar ve bağlantılı yaralanmaların ilişkisi: Pelvik travmalı 471 hastanın istatistiksel analizi

Pages
489–496
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings showedthat there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgerytypes (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: In most respects, the vast majority of pelvic injuries is not of a life-threatening status, but co-presence of otherinjuries needs to be diagnosed.
📊
Key Findings & Data:This study aims to evaluate associated pelvic and extra-pelvic visceral organ injuries of the patientswith closed pelvic fractures.METHODS: This retrospective study was conducted with 471 adult patients who had been admitted to our Emergency Service withthe diagnosis of pelvic fractures.
💡
Conclusion & Impact:The findings showedthat there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgerytypes (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: In most respects, the vast majority of pelvic injuries is not of a life-threatening status, but co-presence of otherinjuries needs to be diagnosed. This study aims to evaluate associated pelvic and extra-pelvic visceral organ injuries of the patientswith closed pelvic fractures.METHODS: This retrospective study was conducted with 471 adult patients who had been admitted to our Emergency Service withthe diagnosis of pelvic fractures. Type of fractures, accompanying visceral organ injuries, the demographic data, type of operation,mortality rates were recorded and analysed statistically.RESULTS: The rate of operations carried out by the general surgery clinic or other surgical clinics in each type of fracture accordingto AO classification did not differ (p=0.118). In patients with A2, A3 and B1 types of fractures, the operation rate of general surgeryclinic did not show a significant difference. However, most of the patients who had extrapelvic surgery were in the mild severity pelvictrauma, such as AO A2 and A3. A total of 31 patients were ex-patients, 17 of whom had AO-A2 type of fractures. The findings showedthat there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgerytypes (p

Özet

AMAÇ: Pelvik yaralanmaların büyük çoğunluğu yaşamı tehdit etmemesine rağmen, ilişkili yaralanmaların heterojen doğası sebebiyle, açıklığa kavuşmasına ihtiyaç vardır. Bu çalışmanın amacı, kapalı pelvik travmalı hastalarda ilişkili pelvik ve ekstra pelvik organ yaralanmalarını araştırmaktır. GEREÇ VE YÖNTEM: Bu geriye dönük çalışma, acil servise pelvik kırık tanısı ile başvuran 471 erişkin hasta ile yapıldı. Kırık tipi, eşlik eden viseral organ yaralanmaları, demografik veriler, operasyon şekli, mortalite oranları kaydedildi ve istatistiksel olarak analiz edildi. BULGULAR: AO sınıflamasına göre genel cerrahi kliniği veya diğer cerrahi klinikler tarafından yapılan operasyonların oranı istatistiksel olarak farklılık göstermemiştir (p=0.118). A0-A2, A3 ve B1 kırık tiplerinde, genel cerrahi kliniğinin operasyon oranı anlamlı bir farklılık göstermemiştir. Bununla birlikte, ekstrapelvik cerrahi geçiren hastaların çoğu AO A2 ve A3 gibi hafif şiddetteki pelvik travmalı hastalardı. Toplamda 31 hasta hayatını kaybetti, bunların 17’si AO-A2 tipi kırığı olan hastalardı. Ortopedi dışı ameliyat olanlar ile normal abdominal ultrasonografi sonuçları arasında anlamlı bir fark olduğu saptandı (p

🔖

Cite This Article

Şahin, M., Akıncı, M., Atilla, A., Saydam, M., Demir, P., Bilgetekin, Y., Tatar, İ. G., Ünlü, G., Yılmaz, K. B., Tamam, S. (2022). Correlation of pelvic fractures and associated injuries: An analysis of 471 pelvic trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 25 - Sayı: 5, 489–496. https://ajindex.com/articles/644256

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Cordts Filho Rde M, Parreira JG, Perlingeiro JA, Soldá SC, Campos Td, Assef JC. Pelvic fractures as a marker of injury severity in trauma patients. [Article in English, Portuguese]. Rev Col Bras Cir 2011;38:310–6
  2. Arvieux C, Thony F, Broux C, Ageron FX, Rancurel E, Abba J, et al. Current management of severe pelvic and perineal trauma. J Visc Surg 2012;149:e227–38
  3. Cullinane DC, Schiller HJ, Zielinski MD, Bilaniuk JW, Collier BR, Como J, et al. Eastern Association for the Surgery of Trauma practice management guidelines for hemorrhage in pelvic fracture--update and systematic review. J Trauma 2011;71:1850–68
  4. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002;195:1–10
  5. Eastridge BJ, Burgess AR. Pedestrian pelvic fractures: 5-year experience of a major urban traumacenter. J Trauma 1997;42:695–700
  6. Holden CP, Holman J, Herman MJ. Pediatric pelvic fractures. J Am Acad Orthop Surg 2007;15:172–7
  7. Demetriades D, Karaiskakis M, Velmahos GC, Alo K, Murray J, Chan L. Pelvic fractures in pediatric and adult trauma patients: are they differentinjuries? J Trauma 2003;54:1146–51
  8. Leonard M, Ibrahim M, Mckenna P, Boran S, McCormack D. Paediatric pelvic ring fractures and associated injuries. Injury 2011;42:1027–30
  9. Shweiki E, Klena J, Wood GC, Indeck M. Assessing the true risk of abdominal solid organ injury in hospitalized ribfracture patients. J Trauma 2001;50:684–8
  10. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002;195:1–10
  11. Pajenda GS, Seitz H, Mousavi M, Vécsei V. Concomitant intra-abdominal injuries in pelvic trauma. [Article in German]. Wien Klin Wochenschr 1998;110:834–40
  12. Lunsjo K, Tadros A, Hauggaard A, Blomgren R, Kopke J, Abu-Zidan FM. Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma 2007;62:687–91
  13. Siegmeth A, Müllner T, Kukla C, Vécsei V. Associated injuries in severe pelvic trauma. [Article in German]. Unfallchirurg 2000;103:572–81
  14. Shojaee M, Faridaalaee G, Yousefifard M, Yaseri M, Arhami Dolatabadi A, Sabzghabaei A, et al. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chin J Traumatol 2014;17:19–24
  15. Güneş Tatar İ, Yılmaz KB, Ergun