Presentation and Management Outcomes of Pelvic fractures: A single Institutional Review

Abstract

Background: Pelvic fractures are orthopaedic emergencies associated with  polytrauma. These fractures have gradually increased in recent times as a result of increasing high speed and complex road traffic accidents.
Objective: To describe the presentation and management outcome of patients that were managed in our institution for pelvic fractures over the study period
Methodology: We retrospectively reviewed the hospital records of patients who were admitted and treated in our hospital with pelvic injuries from February 2012 to January 2015.
Results: Majority 122 (75.8%) of the patients in this study were aged below 40 years. These fractures were mostly caused by road traffic accidents. Most 116 (71.9%) of our patients had Tile class A and B fractures. Polytrauma seen in 41.6% of the patients was the most common associated injury seen with pelvic fractures. The mean Injury Severity Score (ISS) 31.4 shows that these patients were mostly severely injured patients. The fatality rate in this study was 16.12%. These mortality were higher for patients with Tile class C than B injury and no death was recorded for class A injuries.
Conclusion: Majority of the patients were less than 40 years and Road Traffic Accident is the commonest aetiology. Many were successfully  managed conservatively particularly those with stable and partially stable injuries. Functional outcome is generally good.

Key words: Pelvic Fractures, Injury Severity Score, Pelvic Fractures