Epidemiology Of Pelvic Ring Fractures and Injuries: A Retrospective Study

Elnara Efendiyeva; Assylzhan  Messova; Ayan  Myssayev; Aidos  Tlemissov; Murat  Muratoglu; Yersin  Zhunussov

doi:10.3889/oamjms.2021.6876

Authors

Elnara Efendiyeva Department of Epidemiology and Biostatistics, Semey Medical University, Semey, Kazakhstan
Assylzhan Messova Department of Emergency Medicine
Ayan Myssayev Department of Science and Human Resources, Ministry of Health of the Republic of Kazakhstan, Nur-Sultan, Kazakhstan
Aidos Tlemissov Department of Orthopedic Surgery, Semey Medical University, Semey, Kazakhstan
Murat Muratoglu Department of Emergency Medicine, Faculty of Medicine, Başkent University, Ankara, Turkey
Yersin Zhunussov Department of Orthopedic Surgery, Doctor of Medical Science, Semey Medical University, Semey, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2021.6876

Keywords:

Pelvic ring fractures, Epidemiology, Mortality

Abstract

BACKGROUND: Despite relatively rare occurrence in trauma victims, pelvic fractures have a high risk of mortality and morbidity.

AIM: This study was conducted to study epidemiology of patients with pelvic ring injuries in a level 1 trauma center in Kazakhstan.

METHODS: This is a descriptive cross-sectional study within a single institution. In the period of 2014–2017, we encountered 212 patients with pelvic fractures. About 92% of them had concomitant injures due to a high-energy trauma. Measures were compared using the SPSS 20.0 program.

RESULTS: The mean age was 34.5. Pelvic fractures are more often verified in males. The most common mechanism of injury was road traffic injuries and falls from heights. The highest recovery rates were observed for type B fractures, but mortality was highest for type C fractures. The average length of hospital stay was 18.71 days. Non-surgical treatment was used in 62.3% of patients, external fixation device was imposed as an emergency intervention in 64.2% (n = 136) of patients.

CONCLUSIONS: Overall most patients with pelvic fractures had multiple injuries and the mortality rate was 7.1%. Non-surgical treatment was most commonly used. Type C fractures had significantly fatal outcome.

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