geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Pelvic injuries and acetabular fractures: differences in their severity


, : Pelvic injuries and acetabular fractures: differences in their severity. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 80(1): 60-63

The aim of the study was to assess differences in the number and severity of associated injuries between patients with pelvic injury and those with acetabular fracture. The patients treated in the period from January 1, 2008, to December 31, 2010, were enrolled. The group comprised 249 patients (130 women and 119 men) with pelvic injuries and 58 patients (14 women and 44 men) with acetabular fractures. In the patients with pelvic injury, the average age was 52 years, 61 in women and 43 in men, in the range of 17 to 91 years. In the patients with acetabular fracture, the average age was 54 years, 59 in women and 53 in men, in the range of 21 to 96 years. The relevant data including age, sex, cause of injury, associated injuries and the overall severity of injury were obtained from the patient database. The results were statistically analysed using Pearson's .2 test at a 5% level of significance. Acetabular fractures were recorded in more men than women and this difference was significantly higher (p = 0.002) than in the patients with pelvic injury in whom similar numbers of men and women were affected. A fall from height was significantly more frequent as a cause of pelvic injury than that of acetabular fracture (p = 0.034). The patients with pelvic injury also had significantly more associated injuries (p = 0.016) and the number of these patients with an Injury Severity Score (ISS) higher than 16 was significantly higher compared with the number of patients with acetabular fractures (p < 0.001). Little published information is available on comparison of the severity of injuries in patients with pelvic injuries and those with acetabular fractures because these conditions are in fact two nosological units. In pelvic injuries, as conditions usually accompanied by multiple trauma, associated injuries, risk factors for death, requirements for primary life-saving measures, complications and treatment outcomes have been studied. Less attention has been paid to these issues in patients with acetabular fractures; the authors focused on determining the quality of intra-articular fracture treatment in relation to a subsequent risk of avascular necrosis of the femoral head or early arthritis. The study comparing the patients with pelvic injury with those having acetabular fracture showed a significantly higher proportion of men in the group with acetabular fractures. A fall from height significantly more often caused a pelvic injury than an acetabular fracture. In traffic accidents, drivers usually suffered acetabular fractures while pedestrians and cyclists had pelvic injuries. However, a significantly higher number of associated injuries and multiple trauma with an ISS > 16 recorded in the patients with pelvic injury in comparison with those with acetabular fractures was the most important difference between these two groups.

US$29.90

PMID: 23452423


Other references

Irwin, R.B., 1952: BENEFACTOR to the blind; Robert B. Irwin 1883-1951. Journal of Rehabilitation 18(4): 17-17

Trembath, P.W.; Shaw, J., 1978: Potentiation of isoprenaline-induced plasma cyclic AMP response by aminophylline in normal and asthmatic subjects. 1 The effect of intravenous aminophylline infusion (6 mg-1 kg in 20 min, then 0.9 mg-1 kg-1 h thereafter) and its interaction with inhaled isoprenaline (800 microgram ex inhaler) on plasma cyclic AMP levels was studied in five normal and five asth...

Saraceni, G.; Guercio, P.D.l; Monti, G.; Tagliamonte, A., 1962: Resistance to aminosidine and tetracycline of Staphylococcus. Aminosidine resistant mutants of 4 Staphylococcus strains appeared early; tetracycline resistant mutants were more delayed. No resistant mutant were observed against the mixture of the 2 antibiotics.

Osanai, K.; Takahashi, K.; Tsukano, C.; Nambu, S.; Sakuma, T.; Toga, H.; Ohya, N., 1998: Cholera toxin inhibits phosphatidylcholine secretion from rat alveolar type II cells. FASEB Journal 12(4): A178, March 17

Cummings, M.R.; Miller, B.D., 2004: Pharmacologic management of behavioral instability in medically ill pediatric patients. Behavioral instability in children and adolescents is a vexing problem faced by many clinicians. This dilemma is magnified when it presents in a child with an acute medical condition. Effective treatment in these cases with medications may help to...

Xie, G.; Piché, M.; Khoshnejad, M.; Perlbarg, V.; Chen, J-I.; Hoge, R.D.; Benali, H.; Rossignol, S.; Rainville, P.; Cohen-Adad, J., 2013: Reduction of physiological noise with independent component analysis improves the detection of nociceptive responses with fMRI of the human spinal cord. The evaluation of spinal cord neuronal activity in humans with functional magnetic resonance imaging (fMRI) is technically challenging. Major difficulties arise from cardiac and respiratory movement artifacts that constitute significant sources of...

Henigst, W.; Klose, P.; Paulig, R., 1975: Unusual defective antibody reaction after polio vaccination. Over several years we have determined the titers of the neutralizing antibodies against the three types of polio virus in 147 adult females working in hospitals or laboratories. Through administration of a trivalent oral vaccine we attempted to bo...

Iliescu, D.G.; Tudorache, S.; Florea, M.; Patru, C.; Comanescu, A.; Capitanescu, R.; Stoean, R.; Novac, L.; Cernea, N.; Comanescu, C.; Zorila, L.; Tanase, F.; Antsaklis, P.; Dragusin, R., 2016: Abstracts of the 26th World Congress on Ultrasound in Obstetrics and Gynecology, Rome, Italy, 24-28 September 2016. Ultrasound in Obstetrics & Gynecology 48 Suppl 1: 135-135

Ibrahim-Ouali, M.; Romero, Eénie.; Hamze, K., 2013: Stereoselective synthesis of pentacyclic steroids functionalized at C-11. We set out to describe an efficient and versatile method for preparing pentacyclic steroids diversely substituted at C-11 from cholic acid, via a stereoselective epoxidation and the epoxide opening as the key steps. The characteristic (1)H and (13...

Rao, G.V.S.; Goli, A.K., 1999: Device for internal fixation of femoral neck fractures. Official Gazette of the United States Patent & Trademark Office Patents 1219(3): 2346, Feb 16