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Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An
Ranjib Kumar Jha1, Santosh Thapa1, Asish Rajthala1
1Department of Orthopedics, Nobel Medical College, Biratnagar, Morang, Nepal.
Insights
This study analyzed pelvis and acetabular fractures, revealing a higher proportion of acetabular fractures than typically reported. Most patients required surgery and intensive care unit admission, highlighting the severity of these traumatic injuries.
Area of Science:
- Orthopedic trauma
- Epidemiology of fractures
Background:
- Pelvis and acetabular fractures are severe, high-energy injuries requiring significant medical intervention.
- Understanding the epidemiological profile is crucial for effective management and complication planning.
Purpose of the Study:
- To analyze the epidemiological profile of patients with pelvis and acetabular fractures at a tertiary care center.
- To provide essential data for planning management strategies and addressing complications.
Main Methods:
- An observational cross-sectional study was conducted from January to December 2023.
- Data collected included demographics, injury mechanisms, fracture types, associated injuries, management, complications, and outcomes.
- Ethical approval was obtained from the Institutional Review Committee.
Main Results:
- 48 pelvis and/or acetabular fractures were identified (7.27% of traumatic fractures).
- Pelvic fractures accounted for 4.39% and acetabular fractures for 2.42%.
- The median age was 38 years, with 75% of patients being male. 69% required surgery, 35% had additional surgeries, and 29% needed ICU admission. The mortality rate was 2%.
Conclusions:
- The incidence of pelvic fractures aligns with existing literature.
- This study observed a comparatively higher proportion of acetabular fractures.
- Epidemiological data is vital for optimizing treatment and resource allocation for these complex fractures.
Introduction:
Pelvis and acetabular fractures are complex, high-energy trauma and are often associated with life threatening injuries. The majority of them require surgical intervention and extensive rehabilitation. The epidemic figures are necessary to make plan for their management and its complications. We aim to analyze epidemiological profile of patients presented with pelvis and acetabular fracture in our center.
Methods:
This was observational cross-section study, analyzed on patients admitted with pelvis and acetabular fracture at a tertiary care center through emergency and outpatient department between January to December 2023. The collected parameters were age, gender, mechanism of injury, site of injury, classification of fracture, associated other injuries, management operative or non-operative, early post-operative complications, duration of hospital stay, mortality and Intensive Care Unit admission and they were analyzed. Ethical approval was obtained from Institutinal Review Committee (Reference number: 19/2024).
Results:
There were 48 (7.27%) pelvis and/or acetabular fracture amongst 660 patient with traumatic fractures. Pelvic fracture was 29 (4.39%) and acetabular fracture was 16 (2.42%). The median age was 38 years (IQR: 25.25-46.75) and 36 (75%) were male. Thirty three (69%) patients required surgery, 17 (35%) patients had additional surgery for associated injury and 14 (29%) required intensive care unit admission. The median hospital stay was 12.5 days and mortality rate were 2%.
Conclusions:
The proportion of pelvis fracture was comparable to other studies while the proportion of actebular was comparatively higher in this study.
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