There have been changes in the incidence and epidemiology of pelvic ring fractures in recent decades?

Abstract

The pelvic ring fractures comprise 2–8% of all skeletal injuries. As the incidence rises to 25% in polytrauma and represents a negative prognostic factor with regard to morbidity and mortality of patients, we sought with this work to establish the profile of these, compared to an alteration in the profile of patients with pelvic ring fractures in recent decades. To this end, we evaluated the epidemiological profile, mechanism of injury and types of fractures. By reviewing the literature indexed in the databases related to the theme, 20 papers were selected that contained the requirements for the study. For the period between January 1987 and December 1999 (first decade), and another period in January 2000 and December 2010 (second decade), data were analyzed by Mann–Whitney test. The ratings Tile, Young and Burgess AO were adequate to permit their categorization. The research in each decade was homogeneous. At first the lesions were more prevalent in men with 62.5% with a tendency to reverse this pattern given the increase of women in the second decade ( p = 0.286). The average age in the first decade was 39.3 years, an increase in the second ( p = 0.068). The most prevalent mechanisms of trauma were related to traffic in both periods as well as fractures classified as type A ( p = 0.203 and p = 0.457, respectively), having mortality rates decreased ( p = 0.396). We conclude that there was a tendency to increase in the average age of patients ( p = 0.068); however the increasing involvement of women ( p = 0.286) and decreased mortality ( p = 0.396) were not significant.

Trauma of the Pelvic Ring: Epidemiological and Etiopathogenic Aspects

“…Compared with the results of our series, most authors agree that the male age-distribution curve of fractures is of the bimodal type with a first peak in the young adult and a second peak in the segment of the population over the age of 50 [4,10,12,13]. These results are similar to those of Doumbia [1], Oumar Saud [14] and Freitas [11] which respectively find 68%; 64.7% and 62.5% of males.Concerning the circumstances of occurrence, traffic accident dominate the table with 76.7%. The latter are the first providers of trauma in the pelvis [8] and are clearly in the lead in 50 to 83% of cases according to the studies [3,4,10].…”

“…However, since these people are less active, these fractures are rarely found at this age (Table 2). Male dominance is the rule in most studies [3,8,10,11]. In our series, 67% of patients are men with a sex ratio of 2.03.…”

Corona mortis and pelvic dissection: Understanding the relationship between anatomical structures and bone areas

“…Pelvic trauma is more and more common and 25% of polytrauma patients have a pelvic injury (Freitas et al., 2013). Anterior pelvis stabilization is usually achieved by internal fixation.…”

Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?

“…About 20% of polytrauma patients have a pelvic injury [ 1 ], with an estimated incidence of about 23 per 100,000 persons per year [ 2 , 3 ]. The examination of pelvic stability is part of the primary survey of trauma patients as an unstable pelvic ring fracture may result in severe intra- or retroperitoneal bleeding [ 4 , 5 , 6 ].…”