Ghosh Subhajit, Aggarwal Sameer, Kumar Vishal, Patel Sandeep, Kumar Prasoon
Department of Orthopedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of Orthopedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Chin J Traumatol. 2019 Jun;22(3):138-141. doi: 10.1016/j.cjtee.2019.03.003. Epub 2019 Apr 17.
Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India.
A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively.
We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study population was 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay.
Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.
骨盆骨折是严重损伤，常伴有多系统损伤，会使整体预后恶化。在印度，由于道路和交通状况欠佳，骨盆骨折的发生率呈上升趋势，但关于这些损伤总体流行病学的相关文献却稀缺。我们的目的是研究印度一家一级创伤中心收治的骨盆骨折患者的流行病学情况。
在一家三级医院的一级创伤中心，对骨盆骨折创伤患者进行了为期16个月（2015年9月至2016年12月）的前瞻性观察研究。前瞻性记录患者的人口统计学信息、损伤机制和并发症。
我们观察到75例骨盆骨折患者，其中男性56例，女性19例。研究人群的平均年龄为３７.５７岁。道路交通事故是最常见的损伤方式。侧方挤压伤是最常见的类型。常见的合并损伤有下肢和髋臼骨折、腹部钝性创伤、泌尿生殖系统损伤和头部损伤。75例患者中，52例接受了手术治疗，23例采用保守方法治疗。四肢、头部、腹部和泌尿生殖系统的合并损伤表明住院时间较长。
骨盆骨折虽然属于相对罕见的创伤类型，但会导致高发病率和死亡率，给经济带来相当大的负担。当下需要进行适当的道路安全培训和驾驶礼仪教育，并切实严格执行。
