Open pelvic fractures. A multicenter retrospective analysis.


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.

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@article{Jones1997OpenPF, title={Open pelvic fractures. A multicenter retrospective analysis.}, author={Alan L. Jones and Joan N Powell and James F Kellam and Robert McCormack and William Dust and Peter Wimmer}, journal={The Orthopedic clinics of North America}, year={1997}, volume={28 3}, pages={345-50} }