The pelvic fracture – Indicator of injury severity or lethal fracture?

Holtenius, Jonas; Bakhshayesh, Peyman; Enocson, Anders

doi:10.1016/j.injury.2018.06.016

Cited by 17 publications

(11 citation statements)

References 20 publications

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“…There are also international and Swedish examples of trauma databases, such as the American National Trauma Databank (NTDB) and the Swedish National Trauma Registry (SweTrau) [18,19] . These databases focus on general trauma and may be feasible for performing studies of mortality and epidemiology, for example [20][21][22] . However, the data they collect are not as detailed in terms of fractures as those collected by a specific fracture register.…”

Section: Fracture Registersmentioning

confidence: 99%

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

110

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Section: Fracture Registersmentioning

confidence: 99%

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

110

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“…The presence of pelvic fracture has previously been related to the severity of trauma and gained acceptance as an indicator of severe injury. [24] Giannoudishas reported that with AIS chest >2, 21.2% of their patients had pelvic ring injuries. [25] In our cohort, the pelvic bone fracture was also higher and associated with 50 (14%) of MH and 139 (15%) of SH registry.…”

Section: Discussionmentioning

confidence: 99%

Comparative analysis of two different Turkish hospitals reports on polytrauma patients with thoracic trauma

Yaldız

Tülay

Yaldız

et al. 2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: The present study aims to assess whether there are any differences in the management and outcome of polytrauma patients with thoracic trauma in trauma units of two different hospitals in the same country; one hospital is near the Syrian border. METHODS: A retrospective analysis (January 2012 to January 2014) of 348 polytrauma casualties with thoracic trauma from Manisa Celal Bayar University Hospital (MH) were compared according to age, gender, mechanism of injury, associated injuries, abbreviated injury scale (AIS), injury severity score (ISS), treatment modalities, and mortality with 917 patients of Şanlıurfa Training and Research Hospital (SH) registry (near the Syrian border). RESULTS: Of the 348 patients in the MH, 230 (66%) and of the 917 patients in the SH, 697 (76%) were males (p<0.001). Mean age was 45.6±18.3 yrs in the MH group and 26.4±22.4 yrs in the SH group (p<0.001). The SH patients had a larger proportion of stab wounds (MH; 9% vs. SH; 17%, p<0.05), gunshot injuries (MH; 5% vs. SH; 18%, p<0.05), higher mean ISS (MH; 30.2±8.4 vs. SH; 42.8±10.2, p<0.001), and increased mortality (MH; 2.6% vs. SH; 11.1%, p<0.001). AIS abdomen was the highest component in the SH registry (AIS abdomen = 4.8±0.7), whereas AIS extremities were the highest component in the MH registry (AIS extremities = 3.6±0.2). CONCLUSION: Significantly different demographic features, mechanisms of injury, worse outcomes and higher mortality rates in SH demonstrate and reflect the surgical challenges depending on the combat environment. Two hospitals in Turkey, one seemingly adjacent to a war zone and another with the more standard civilian experience highlight the impact of the Syrian conflict on the Turkish healthcare system.

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“…We have not found any other study that reports on mortality in Pipkin fracture patients, making comparisons difficult to make. In a study including 4480 unselected trauma patients, Holtenius et al found a 30-day mortality of 9.0% and a 1-year mortality of 10% for patients with a pelvic fracture [ 18 ]. Both deceased patients in our cohort were poly-trauma patients, and most probably other injuries than the Pipkin fractures were the major contributing factors for death.…”

Section: Discussionmentioning

confidence: 99%

Pipkin fractures: epidemiology and outcome

Enocson

Wolf

2022

Eur J Trauma Emerg Surg

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Purpose To describe the epidemiology of Pipkin fractures including detailed fracture classification and outcome for joint preservation and death. Methods We extracted data on all Pipkin fractures in the Swedish Fracture Register from 2013 to 2020 in patients ≥ 18 years. The cohort was cross-matched with the Swedish Hip Arthroplasty Register to obtain data on primary or secondary treatment with arthroplasty. We analysed data on age, sex, injury mechanism, fracture classification, treatment including secondary operative treatment with arthroplasty and mortality. Primary outcome was joint preservation. Results In total 47 Pipkin fractures with a median age of 48 years were included. 74% of the fractures were in males. The median follow-up time was 3.5 years. The most common primary treatment was internal fixation (45%), followed by primary arthroplasty (28%), and excision of fragment (15%). Three of the 34 patients with primary non arthroplasty treatment received secondary treatment with arthroplasty. Two patients died within 30 days, and no further deaths occurred up to 1 year after injury. Conclusion Three of four fractures occurred in males and more than half of the fractures were due to high energetic injuries. Half of the patients received internal fixation (predominantly younger patients) and 28% were treated with primary arthroplasty (predominantly older patients). The revision rate was low, and after secondary treatment with arthroplasty two thirds of the patients still had a preserved joint.

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The pelvic fracture – Indicator of injury severity or lethal fracture?

Cited by 17 publications

References 20 publications

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Comparative analysis of two different Turkish hospitals reports on polytrauma patients with thoracic trauma

Pipkin fractures: epidemiology and outcome

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