| Autor: |
Robert, Bachmann, Michael, Poppele, Patrick, Ziegler, Alexander, Trulson, Inga M, Trulson, Christian, Minarski, Ruth, Ladurner, Ulrich, Stöckle, Fabian M, Stuby, Markus A, Küper |
| Jazyk: |
němčina |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen. 91(6) |
| ISSN: |
1433-0385 |
| Popis: |
Pelvic fractures are rare but severe injuries. The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters, such as reduction quality and the clinical course in pelvic injuries has not yet been sufficiently investigated.This study retrospectively analyzed the prospective consecutive data of patients with pelvic injuries treated at the BG Trauma Center in Tübingen in the years 2003-2017. Demographic, clinical and operative parameters were recorded and compared between two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma).A total of 1848 patients with pelvic injuries were treated during this period and 18.6% had a concomitant abdominal trauma. The mean age was 62.3 ± 23.1 years. Comparing the two groups, patients with a combination of pelvic and abdominal trauma were significantly younger (46.3 ± 20.3 years vs. 70.6 ± 20.8 years; p 0.001). Both the overall complication rate (31.2% vs. 9.4%; p 0.001) and mortality (5.0% vs. 1.7%; p = 0.001) were significantly higher in the group with a combination of injuries. The time until definitive surgery of the pelvis was significantly longer in the group with combined injuries (6.0 ± 6.4 days vs. 4.5 ± 4.4 days; p = 0.002). The results of postoperative reduction did not differ between the two groups.Patients with a pelvic injuries have a concomitant abdominal trauma in approximately 20% of the cases. The clinical course is significantly prolonged in patients with a combined injury and morbidity and mortality rates are increased; however, the quality of the postoperative results is not influenced by a concomitant abdominal injury. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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