[Quality of operative treatment of pelvic fractures is not influenced by an additional abdominal injury : A monocentric registry study]. / Die Qualität der operativen Versorgung von Beckenfrakturen wird durch eine zusätzliche Abdominalverletzung nicht beeinflusst : Eine monozentrische Registerstudie.
Chirurg
; 91(6): 483-490, 2020 Jun.
Article
en De
| MEDLINE
| ID: mdl-31346641
ABSTRACT
BACKGROUND:
Pelvic fractures are rare but severe injuries. The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters, such as reduction quality and the clinical course in pelvic injuries has not yet been sufficiently investigated.METHODS:
This study retrospectively analyzed the prospective consecutive data of patients with pelvic injuries treated at the BG Trauma Center in Tübingen in the years 2003-2017. Demographic, clinical and operative parameters were recorded and compared between two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma).RESULTS:
A total of 1848 patients with pelvic injuries were treated during this period and 18.6% had a concomitant abdominal trauma. The mean age was 62.3⯱ 23.1 years. Comparing the two groups, patients with a combination of pelvic and abdominal trauma were significantly younger (46.3⯱ 20.3 years vs. 70.6⯱ 20.8 years; pâ¯< 0.001). Both the overall complication rate (31.2% vs. 9.4%; pâ¯< 0.001) and mortality (5.0% vs. 1.7%; pâ¯= 0.001) were significantly higher in the group with a combination of injuries. The time until definitive surgery of the pelvis was significantly longer in the group with combined injuries (6.0⯱ 6.4 days vs. 4.5⯱ 4.4 days; pâ¯= 0.002). The results of postoperative reduction did not differ between the two groups.CONCLUSION:
Patients with a pelvic injuries have a concomitant abdominal trauma in approximately 20% of the cases. The clinical course is significantly prolonged in patients with a combined injury and morbidity and mortality rates are increased; however, the quality of the postoperative results is not influenced by a concomitant abdominal injury.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Huesos Pélvicos
/
Fracturas Óseas
/
Traumatismos Abdominales
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
Idioma:
De
Revista:
Chirurg
Año:
2020
Tipo del documento:
Article