Open pelvic fractures. A multicenter retrospective analysis.

Abstract

A marked discrepancy exists in the reported mortality rates in patients with open pelvic fractures, ranging from 4.8% to 50%. A retrospective review of patients with open pelvic fractures was performed at three centers. Thirty-nine patients with open pelvic fractures were identified; the average age was 32. The average injury-severity score was 29 (13-75). There were 10 (26%) deaths. Factors that correlated with mortality and morbidity were instability of the pelvic fracture and the presence of a rectal injury. Delay in performing diverting colostomy correlated with a poor outcome. Previously described methods of treatment are still valid; however, there is a need for re-emphasis of early diverting colostomy in the patient with a rectal or perineal injury. A classification system for open pelvic fractures is proposed in this article.

Showing 1-10 of 11 extracted citations

Statistics

0100200300'04'06'08'10'12'14'16
Citations per Year

373 Citations

Semantic Scholar estimates that this publication has received between 48 and 1,304 citations based on the available data.

See our FAQ for additional information.