The circumstances of the pelvic injuries in cases of multisystem damages
DOI:
https://doi.org/10.15674/0030-59872014480-84Keywords:
polytrauma, concomitant pelvic injury, traumatism mechanisms and circumstancesAbstract
Fractures and disruptions of the pelvic ring especially when combined with fractures of other bones of the skeleton and internal injuries cause severe illness and often lead to death. Objective: To study clinical and nosological indicators of combined pelvic injuries. Methods: The medical records of 400 patients with multiple organ and systemic injuries were analyzed treated at the Ternopil University Hospital in 2008–2012 were analyzed. Among them prevailed men (76.3 %). For rank distributions we used nonparametric correlation analysis with the definition of the Pearson’s polychoric indicator of connection. Based on the analysis performed pelvic trauma in cases of multiple organ and systemic damages recorded 45 victims among which men were twice as much as women. Results: It was found that the more often concomitant pelvic damages in polytrauma cases were obtained as a result of a direct blow and the combined mechanisms of injury. Wherein the most common combination of concomitant injuries was trauma of pelvis, head, chest and skeletal trauma. Frequent cause of polytrauma and concomitant pelvic injuries were road traffic accidents (RTA) — 67.7 %. During retrospective analysis it was found that the distribution of combinations of injuries of the pelvis and other anatomical and functional areas significantly depends on the circumstances of injury. In particular, in case of RTA pelvic injuries frequently combined with craniocerebral (80.0 %) and skeletal (about 70.0 %) ones. At home accidents pelvic damages more often accompanied by skeletal (85.7 %) and traumatic brain (50.0 %) injuries. Conclusion: polytrauma is a severe medical and social problem which is now becoming rampant. The most common cause of polytrauma and concomitant pelvic injuries is an a RTA.
References
- Pelvic fractures in polytrauma: Which classification system better predicts hemodynamics instability / J. Cortina Gualdo, D. Barastegui Fernandez, J. Teixidor Serra [et al.] // European Orthopaedics and Traumatology. — 2013. — № 4 (1). — Р. 35–39.
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Copyright (c) 2014 Sergey Guriev, Andrey Tsvyakh
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