Basile Giuseppe, Passeri Alberto, Bove F, Accetta R, Gaudio R M, Calori G M
Trauma Unit and Emergency Department, IRCCS Galeazzi Orthopedics Institute, Milano, Italy.
Physician Specialist in Legal Medicine; via G. Garibaldi 110, 35043 Monselice (PD) - Italy.
Injury. 2022 Feb;53(2):475-480. doi: 10.1016/j.injury.2021.11.063. Epub 2021 Nov 26.
Fractures of the pelvic ring and acetabulum generally result after high energy trauma. Pelvic fractures, especially, are considered complex injuries from a therapeutic point of view, in relation to the frequent coexistence of skeletal and / or parenchymal lesions affecting other areas, and the abundant bleeding invariably associated with the latter. The systematic study of these injuries, starting from the 1950s, has led to a significant prognostic improvement, while generally remaining a non-negligible degree of disability. The knowledge of the characteristics of the lesions and of the classification systems, as well as an accurate assessment of the anatomo-functional repercussions, represent therefore the fundamental prerequisites for the correct assessment of physical damage. Herein, we aim to examine whether the medico-legal assessment parameters of physical damage being used in Italy and Europe are appropriate and consistent with the complexity of similar injuries.
骨盆环和髋臼骨折通常由高能量创伤导致。尤其是骨盆骨折，从治疗角度来看被视为复杂损伤，这与常伴有影响其他部位的骨骼和/或实质病变以及后者总是伴随的大量出血有关。从20世纪50年代开始对这些损伤进行系统研究，已使预后有显著改善，不过总体上仍存在不可忽视的残疾程度。因此，了解损伤特征和分类系统，以及准确评估解剖功能影响，是正确评估身体损伤的基本前提。在此，我们旨在研究意大利和欧洲所使用的身体损伤法医评估参数是否合适，以及是否与类似损伤的复杂性相符。
