Jha Ranjib Kumar, Thapa Santosh, Rajthala Asish
Department of Orthopedics, Nobel Medical College, Biratnagar, Morang, Nepal.
JNMA J Nepal Med Assoc. 2025 Feb;63(282):83-87. doi: 10.31729/jnma.8882. Epub 2025 Feb 28.
Pelvis and acetabular fractures are complex, high-energy trauma and are often associated with life threatening injuries. The majority of them require surgical intervention and extensive rehabilitation. The epidemic figures are necessary to make plan for their management and its complications. We aim to analyze epidemiological profile of patients presented with pelvis and acetabular fracture in our center.
This was observational cross-section study, analyzed on patients admitted with pelvis and acetabular fracture at a tertiary care center through emergency and outpatient department between January to December 2023. The collected parameters were age, gender, mechanism of injury, site of injury, classification of fracture, associated other injuries, management operative or non-operative, early post-operative complications, duration of hospital stay, mortality and Intensive Care Unit admission and they were analyzed. Ethical approval was obtained from Institutinal Review Committee (Reference number: 19/2024).
There were 48 (7.27%) pelvis and/or acetabular fracture amongst 660 patient with traumatic fractures. Pelvic fracture was 29 (4.39%) and acetabular fracture was 16 (2.42%). The median age was 38 years (IQR: 25.25-46.75) and 36 (75%) were male. Thirty three (69%) patients required surgery, 17 (35%) patients had additional surgery for associated injury and 14 (29%) required intensive care unit admission. The median hospital stay was 12.5 days and mortality rate were 2%.
The proportion of pelvis fracture was comparable to other studies while the proportion of actebular was comparatively higher in this study.
骨盆和髋臼骨折是复杂的高能创伤，常伴有危及生命的损伤。其中大多数需要手术干预和广泛的康复治疗。了解流行病学数据对于制定治疗方案及其并发症的应对计划至关重要。我们旨在分析我院骨盆和髋臼骨折患者的流行病学特征。
这是一项观察性横断面研究，对2023年1月至12月期间通过急诊科和门诊部收治于三级医疗中心的骨盆和髋臼骨折患者进行分析。收集的参数包括年龄、性别、受伤机制、损伤部位、骨折分类、其他合并损伤、手术或非手术治疗方式、术后早期并发症、住院时间、死亡率以及重症监护病房入住情况，并进行分析。已获得机构审查委员会的伦理批准（参考编号：19/2024）。
在660例创伤性骨折患者中，有48例（7.27%）发生骨盆和/或髋臼骨折。骨盆骨折29例（4.39%），髋臼骨折16例（2.42%）。中位年龄为38岁（四分位间距：25.25 - 46.75），男性36例（75%）。33例（69%）患者需要手术治疗，17例（35%）患者因合并损伤接受了额外手术，14例（29%）患者需要入住重症监护病房。中位住院时间为12.5天，死亡率为2%。
本研究中骨盆骨折的比例与其他研究相当，而髋臼骨折的比例相对较高。
