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Pelvic and acetabular fractures
Insights
This audit of pelvic and acetabular fractures in Ireland found that road traffic accidents and falls from height were the most common causes. Surgical intervention was frequently required for these severe injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Medical Auditing
Background:
- Adelaide and Meath National Children's Hospital (AMNCH) serves as a key trauma center in Ireland.
- Pelvic and acetabular fractures are severe injuries often requiring complex surgical management.
Purpose of the Study:
- To audit pelvic and acetabular fractures treated at AMNCH over a 12-month period.
- To document fracture patterns, injury mechanisms, and surgical procedures.
- To analyze the incidence and characteristics of these fractures in the Irish population.
Main Methods:
- Retrospective audit of patient records.
- Data collection from July 2010 to June 2011.
- Inclusion criteria: all pelvic and acetabular fractures requiring surgical intervention.
Main Results:
- 109 patients were referred to AMNCH.
- Road traffic accidents (RTA) and falls from height were the leading causes (43 and 45 cases, respectively).
- 71 acetabular fractures and 43 pelvic ring fractures were recorded, with some patients sustaining both. 129 surgical procedures were performed.
Conclusions:
- Pelvic and acetabular fractures represent a significant trauma burden in Ireland.
- Understanding injury mechanisms and fracture patterns is crucial for surgical planning and resource allocation.
- Further research into long-term outcomes and preventative strategies is warranted.
Abstract:
Patients that sustain pelvic and/or acetabular trauma in Ireland and require surgical intervention are treated at the Adelaide and Meath National Children's Hospital (AMNCH). For this study an audit was conducted of all pelvic and acetabular fractures referred to the AMNCH over a 12 month period from July 2010 to June 2011. This study was conducted with the purpose of recording the different fracture patterns, methods of injury and surgical procedures performed over this time frame. The results demonstrate that 109 patients were referred to the AMNCH with the majority of these fractures being sustained as the result of an RTA (43) or a fall from a height (45). Seventy one patients suffered an acetabular fracture while 43 patients suffered a fracture of their pelvic ring with some patients suffering both. There were 129 surgical procedures performed with 25 patients having more than one surgical procedure.
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