Elamin Mohamed H, Elkaramany Islam, Salman Loay A, Albasha Anas, Parambathkandi Ashik, Elramadi Ahmed, Ahmed Ghalib
Orthopedics Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.
Department of Orthopaedic Surgery, Surgical Specialty Center, Hamad Medical Corporation, Doha, Qatar.
Int Orthop. 2024 Apr;48(4):1097-1103. doi: 10.1007/s00264-024-06103-w. Epub 2024 Feb 1.
This study aimed to determine the incidence of pelvic ring fractures and their associated epidemiological profile in Qatar.
A retrospective cross-sectional study was performed at the only level I trauma centre in Qatar for patients diagnosed with pelvic ring fractures between January 2016 and December 2018. Age, sex, mechanism of injury, fracture classification and associated characteristics, mode of treatment, associated nerve injuries, and other complications were analyzed.
A total of 327 consecutive patients were included, with an average age of 32.6 years. Most of the included patients were males, 85% (279), with a male: female ratio of 6:1. The incidence of pelvic fractures was 3.887/100,000 across the three years. High-speed motor vehicle collisions (MVC) were the most common mechanism of injury (108, 33%), followed by falling from height (105, 32%). Young-Burgess lateral compression (LC) fracture type was the most frequent (224, 68.5%) and was associated with 25% of the entire mortalities. Nine (2.8%) cases were open fractures, and 12% (39) were deemed unstable. Around 29% of cases had associated injuries, with an overall mortality rate of 4.9% (16) observed. Most fractures were treated nonoperatively(n = 283,86.5%).
This study demonstrated the epidemiology of pelvic fractures in Qatar. MVC and work-related injuries were predominant in a younger cohort compared to the literature. Also, the mortality rate was lower than those reported in the literature. Therefore, well-trained surgeons and specialized trauma centres for treating these injuries are recommended.
本研究旨在确定卡塔尔骨盆环骨折的发病率及其相关的流行病学特征。
在卡塔尔唯一的一级创伤中心进行了一项回顾性横断面研究，研究对象为2016年1月至2018年12月期间被诊断为骨盆环骨折的患者。分析了年龄、性别、损伤机制、骨折分类及相关特征、治疗方式、相关神经损伤及其他并发症。
共纳入327例连续患者，平均年龄32.6岁。纳入患者中大多数为男性，占85%（279例），男女比例为6:1。三年间骨盆骨折的发病率为3.887/10万。高速机动车碰撞（MVC）是最常见的损伤机制（108例，33%），其次是高处坠落（105例，32%）。Young-Burgess侧方压缩（LC）骨折类型最为常见（224例，68.5%），且占全部死亡病例的25%。9例（2.8%）为开放性骨折，12%（39例）被认为不稳定。约29%的病例有合并伤，观察到的总死亡率为4.9%（16例）。大多数骨折采用非手术治疗（n = 283例，86.5%）。
本研究展示了卡塔尔骨盆骨折的流行病学情况。与文献相比，MVC和工伤在较年轻的队列中占主导地位。此外，死亡率低于文献报道。因此，建议配备训练有素的外科医生和专门的创伤中心来治疗这些损伤。
