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Related Experiment Videos

Major pelvic fractures.

N H Naam, W H Brown, R Hurd

    Archives of Surgery (Chicago, Ill. : 1960)
    |May 1, 1983
    PubMed
    Summary

    Pelvic fractures from blunt trauma significantly increase mortality. Open, hemorrhagic pelvic fractures are particularly deadly, demanding extensive care and often resulting in death.

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    Area of Science:

    • Trauma Surgery
    • Orthopedic Surgery
    • Emergency Medicine

    Background:

    • Pelvic fractures are a severe consequence of blunt trauma, particularly high-velocity deceleration injuries.
    • These injuries significantly contribute to patient morbidity and mortality.
    • Understanding fracture subtypes is crucial for predicting outcomes.

    Purpose of the Study:

    • To analyze the impact of different pelvic fracture types on mortality and morbidity.
    • To identify key factors influencing survival rates in patients with pelvic fractures.
    • To evaluate the effectiveness of current treatment strategies.

    Main Methods:

    • Retrospective analysis of 593 patients with high-velocity deceleration injuries.
    • Categorization of pelvic fractures based on openness and hemorrhage.
    • Comparison of mortality rates and treatment requirements across fracture groups.

    Main Results:

    • Overall mortality for pelvic fractures was 16.6%.
    • Open, hemorrhagic pelvic fractures had a 60% mortality rate, requiring massive blood transfusion.
    • Hemorrhagic pelvic fractures had a 50% mortality, while open fractures without hemorrhage had a 25% mortality and increased sepsis risk.

    Conclusions:

    • Pelvic fractures from blunt trauma are associated with high mortality, especially when open and hemorrhagic.
    • Associated injuries (head injury, pelvic hemorrhage, sepsis) are primary causes of death.
    • Improved survival necessitates prompt treatment and development of advanced care methods for severely injured patients.

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