medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2002, Number 2

<< Back Next >>

An Med Asoc Med Hosp ABC 2002; 47 (2)

Pelvic ring and acetabular fractures in the ABC Medical Center

González GO, Fernández PLJ Sánchez BM

Language: Spanish
References: 10
Page: 62-66
PDF size: 310.67 Kb.


ABSTRACT

Pelvis and acetabular fractures result in most cases from high energy trauma, mainly car accidents and height falls. Classification and displacement is understood with biomechanic principles. Most fractures can be classified either as stable or an unstable injuries. A retrospective study was performed at the ABC Hospital between January 1998 and January 2001. 36 pelvic and acetabular fractures were reviewed and classified according to Tile’s and Letournel and Judet’s systems. 19 pelvic fractures, 11 acetabular fractures and 6 combined injuries were identified. Thirteen fractures (37%) were classified as unstable and 6 patients died in the first 48 hours (40% of the unstable injuries and 17% of the total). Mortality in these fractures is still high including the best trauma centers.


REFERENCES

  1. Matta J, Saucedo T. Internal fixation of pelvic ring fractures. Clin Orthop 1989; 242: 83-97.

  2. Matta J. Indications for anterior fixation of pelvis fractures. Clin Orthop 1996; 329: 88-96.

  3. Matta J, Tornetta P. Internal fixation of instable pelvic ring injuries. Clin Orthop 1999; 329: 129-140.

  4. Wolinsky P. Assessment and management of pelvis fracture in the hemodinamically instable patient. Orthop Clin North Am 1997; 28 (3):321-329.

  5. Tornetta P, Dickson K, Matta J. Outcome of rotationally unstable pelvic ring injuries treated operatively. Clin Orthop 1996; 329: 147-151.

  6. Tornetta P, Matta J. Outcome of operatively treate unstable posterior pelvis ring disruptions. Clin Orthop 1996; 329: 186-193.

  7. Tile M. Classification. In: Tile M (ed): Fractures of the Pelvis and Acetabulum. 2nd ed. Baltimore: Williams & Wilkins, 1995: 66-101.

  8. Letournel E. Classification. In: Letournel E, Judet R. (eds): Fractures of the acetabulum. 2nd ed. Springer Verlag, 1993.

  9. Routt Ch, Simonian P, Swiontkowski M. Stabilization of pelvic ring disruptions. Orthop Clin North Am 1997; 28 (3): 369-388.

  10. Jones A, Powell J, Kellam J, McCormack R, Dust W, Wimmer P. Open pelvic fractures. Orthop Clin North Am 1997; 28 (3): 345-350.




2020     |     www.medigraphic.com