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Pelvic ring fractures: epidemiological study

From February 2000 to September 2001, 84 patients with pelvic fractures were assessed, using a determined protocol. There were more men (67%) than women. Most of the patients were white (86%) and the average was 37 years of age. The most frequent accident was reported to have been traffic accidents (58%) such as motor vehicle, motorcycle and running over - victims of high-energy injuries. The pelvic ring fractures were classified according to Tile (13) as stable in 55% (type A injury), as rotationally unstable in 30% (type B injury) and as unstable in translation in 15% (type C injury). The most frequent lesion affecting the pelvic girdle was the isquiopubic bones fracture (transpubic instability). The overall rate of operative stabilization was 29%. An average of five units of total blood transfusion was required in 20% of the patients; exception to two (2,4%) patients with intrapelvic arterial injury that required more than 10 units of blood in the first 48 hours. The overall mortality rate was 7%, depending significantly on the associated extrapelvic traumas.

Fracture; Epidemiology; Pelvic ring


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