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Where does Pelvic and Acetabular Fracture Treatment fit into the Newly Proposed Major Trauma Model in Ireland?

C Fenelon1, E P Murphy1, B J O’Daly1

  • 1National Centre for Pelvic & Acetabular Surgery, Tallaght University Hospital, Dublin

Irish Medical Journal
|June 28, 2019
PubMed

Insights

Pelvic and acetabular (PA) fractures in Ireland are often caused by falls or road trauma. Optimal placement of specialized PA services is crucial for managing these complex injuries and reducing patient and societal costs.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Pelvic and acetabular (PA) fractures are severe injuries with significant morbidity.
  • Understanding current referral patterns is essential for optimizing trauma care networks.

Purpose of the Study:

  • To analyze referral patterns for PA fractures in Ireland.
  • To determine ideal locations for specialized PA fracture services.

Main Methods:

  • Retrospective review of all PA fracture referrals to the national referral center in Ireland.
  • Data collected for the years 2016 and 2017.

Main Results:

  • 456 referrals were analyzed; mean patient age was 53 years, with 62.9% males.
  • Falls (47.8%) and road trauma (38.6%) were primary causes; 60.7% received conservative management.
  • Referrals from the proposed trauma network constituted 76.1%; average operative cost was €11,774.

Conclusions:

  • PA fractures incur substantial patient and societal costs.
  • Strategic placement of PA fracture services is necessary for high-quality care.
  • Optimizing service location can improve outcomes for patients with PA trauma.

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