ArticleJournal of orthopaedic surgery and research2020
Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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32 citing papers in PubMed, 54 citations in OpenAlex.
- Anterior-posterior versus posterior-only stabilization of unstable pelvic ring injuries in polytraumatized patients: a comparative analysis of clinical, radiological, and long-term functional outcomes.International orthopaedics · 2026Article
- Anterior subcutaneous internal fixation for a complex vertical shear pelvic fracture with Morel-Lavallée lesion: a case report.Journal of surgical case reports · 2026Article
- Beyond the pelvic ring: benchmarking multi-bone segmentation for ROI-Guided fracture detection.Scientific reports · 2026Article
- Complications and outcomes after definitive surgery for traumatic high-energy pelvic fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Minimally invasive percutaneous cannulated screw fixation for pelvic fractures: a retrospective case cohort study of clinical and radiological outcomes.Frontiers in medicine · 2026Article
- Pararectus vs. lateral window approach in AO B2.2 pelvic fractures: impact on short-term functional outcomes.BMC surgery · 2025Article
- [Trends in burden of pelvic fractures from 1990 to 2023 and long short-term memory-based insights into future projections].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Return to sport after acetabular and pelvic ring fractures in amateur athletes: A retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Clinical characteristics and mortality risk factors in polytrauma patients with pelvic fractures: a retrospective study based on an integrated multidisciplinary treatment approach.International journal of emergency medicine · 2025Article
- Pubic and Multiple Pelvic Fractures in Trauma Patients Are Associated With Intensive Care Unit Admission.Cureus · 2025Article
- Review and First Study of a Single-Port Robot in Pelvic Traumatology.Journal of clinical medicine · 2025Review
- Comprehensive Management of Different Types of Pelvic Fractures Through Multiple Disciplines: A Case Series.Journal of clinical medicine · 2025Article
- Pelvic Fractures in Adults and the Importance of Associated Injuries-A Current Multi-Disciplinary Approach.Clinics and practice · 2025Article
- Temporal and regional trends of fractures in the United States: A review of the global burden of disease database.Journal of orthopaedics · 2025Article
- Advances in Managing Pelvic Fractures in Polytrauma: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Impact of COVID-19 pandemic outbreak on pelvic trauma surgical management.Scientific reports · 2025Article
- Predictors of prolonged hospital stay of pelvic ring and acetabular fractures - a retrospective analysis in a 10-year period of a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Epidemiological characteristics and impact of sepsis on survival after osteoporotic pelvic fracture in Austria.Scientific reports · 2024Article
- Clinically relevant bleeding risk in low-energy fragility fractures of the pelvis in elderly patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraumatic pelvic fracture (TPF) is a significant injury that results from high energy impact and has a high morbidity and mortality. PURPOSE: We aimed to describe the epidemiology, incidence, patterns, management, and outcomes of TPF in multinational level 1 trauma centers.
methodsWe conducted a retrospective analysis of all patients with TPF between 2010 and 2016 at two trauma centers in Qatar and Germany.
resultsA total of 2112 patients presented with traumatic pelvic injuries, of which 1814 (85.9%) sustained TPF, males dominated (76.5%) with a mean age of 41 ± 21 years. In unstable pelvic fracture, the frequent mechanism of injury was motor vehicle crash (41%) followed by falls (35%) and pedestrian hit by vehicle (24%). Apart from both extremities, the chest (37.3%) was the most commonly associated injured region. The mean injury severity score (ISS) of 16.5 ± 13.3. Hemodynamic instability was observed in 44%. Blood transfusion was needed in one third while massive transfusion and intensive care admission were required in a tenth and a quarter of cases, respectively. Tile classification was possible in 1228 patients (type A in 60%, B in 30%, and C in 10%). Patients with type C fractures had higher rates of associated injuries, higher ISS, greater pelvis abbreviated injury score (AIS), massive transfusion protocol activation, prolonged hospital stay, complications, and mortality (p value < 0.001). Two-thirds of patients were managed conservatively while a third needed surgical fixation. The median length of hospital and intensive care stays were 15 and 5 days, respectively. The overall mortality rate was 4.7% (86 patients).
conclusionTPF is a common injury among polytrauma patients. It needs a careful, systematic management approach to address the associated complexities and the polytrauma nature.
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