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Pelvic open fractures

J F Perry

    Clinical Orthopaedics and Related Research
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Open pelvic fractures, often caused by accidents, have a high mortality rate (42%) due to hemorrhage and sepsis. Current treatments for these severe pelvic fractures remain inadequate.

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    Area of Science:

    • Trauma Surgery
    • Orthopedic Surgery
    • Emergency Medicine

    Background:

    • Open pelvic fractures are a severe injury with high mortality.
    • They are frequently associated with pedestrian and motorcycle accidents.
    • Hemorrhage and sepsis are primary causes of death.

    Purpose of the Study:

    • To analyze the incidence, causes, and outcomes of open pelvic fractures.
    • To identify major causes of mortality associated with open pelvic fractures.
    • To evaluate current treatment strategies and their effectiveness.

    Main Methods:

    • Retrospective review of 738 pelvic fracture patients from 1970-1978.
    • Analysis of mortality rates for open versus closed pelvic fractures.
    • Identification of causes of death and associated injuries in open pelvic fracture cases.

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    Main Results:

    • 31 out of 738 patients had open pelvic fractures.
    • Mortality for open pelvic fractures was 42%, compared to 10.3% for closed fractures.
    • Hemorrhage and sepsis/renal failure were the main causes of death; 19% had major vascular injury.

    Conclusions:

    • Open pelvic fractures carry a significantly higher mortality risk than closed fractures.
    • Hemorrhage and sepsis are critical complications requiring aggressive management.
    • Current treatment methods for open pelvic fractures are insufficient, necessitating further research and development.