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2023, Number 4

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Ortho-tips 2023; 19 (4)

Associated injuries of acetabular and pelvic fractures in a referral trauma hospital

Tlahuel-Delgado S, Quiroz-Williams J, Gaytán-Fernández S, Barragán-Hervella RG, Castañeda-López EJ, Cruz-Ricardez JA

Language: Spanish
References: 20
Page: 200-205
PDF size: 178.43 Kb.


ABSTRACT

Introduction: pelvic ring fractures are considered high-impact trauma, which are life-threatening, since they are associated with intra- and extra-pelvic injuries, which potentiate the severity of the injury. Objective: describe the injuries associated with pelvic and acetabular fractures in our hospital. Material and methods: descriptive observational study. Review of clinical records of patients with pelvic and/or acetabular fractures, to identify associated injuries: long bone fractures, genitourinary, thoraco-abdominal injuries, and head injury (HI). Odds Ratio, χ2 and Fisher were used. Statistically significant value p < 0.05. Results: sample of 26 patients. Male 69.2%. 84.6% did not present comorbidities. 46.2% acetabulum, 38.5% pelvis and 15.4% pelvis/acetabulum. 19.2% had a car collision, 26.9% motorcycle overturn, 26.9% fall > 2 meters. 73.1% were surgically managed. Acetabulum, 62A 75% (AO) and 41.7% posterior wall (Letournel and Judet), Pelvis: 50% 61A and 40% 61C (AO) and 50% A and 40% C (Title). Acetabulum: HI (OR:0.7, p = 0.652) and costal fracture (OR:0.7, p = 1.000). Pelvis: urethra (OR:2.7, p = 0.385), bladder (OR:1.9, p = 0.538), vagina (OR:2.7, p = 0.385), HI (OR:0.4, p = 0.325). Pelvis/acetabulum: bladder (OR:2.6, p = 0.408), HI (OR:10, p = 0.028), intestine (OR:8.3, p = 0.154) and costal fracture (OR:0.6, p = 0.408). Conclusions: pelvis and acetabulum injuries that were mostly associated with these had a similar distribution: HI, genitourinary injuries and thoracoabdominal injuries.


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EVIDENCE LEVEL

III (estudio observacional).




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