Skip to main content
Erschienen in: Irish Journal of Medical Science (1971 -) 2/2012

01.06.2012 | Original Article

Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: a 10-year experience

verfasst von: N. Davarinos, P. Ellanti, S. Morris, J. P. Mc Elwain

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

Background

Pelvic fractures are usually the result of high-energy trauma and may have associated soft tissue and organ damage resulting in significant morbidity and mortality in these patients. Currently, there is little data from Ireland regarding these injuries.

Objective

To study the epidemiology of pelvic fractures presenting to a tertiary referral centre in Dublin.

Methods

Patients referred with a pelvic fracture were identified using the Hospital Inpatient Enquiry System (HIPE) from 1998 to 2008. The patient’s medical notes were reviewed for demographic data, type and mechanism of fracture and associated injuries.

Results

A total of 509 patients were identified over the 10-year period. 466 patients were included in the study. There was a significant male preponderance 76% (n = 354) as compared to females 24% (n = 112). Mean age was 36.5 years (range 16–83). Road traffic accidents (RTA) were the cause in 74% (n = 346) of the cases.

Conclusion

From our study, the typical patient profile is one of a male in his 30’s involved in an RTA requiring acetabular surgery. This is in accordance with previously published international data and highlights the need for specialised units, training in this subspecialty and allocation of resources.
Literatur
1.
Zurück zum Zitat Giannoudis PV, Grotz MR, Tzioupis C et al (2007) Prevalence of pelvic fractures, associated injuries, and mortality: the United Kingdom perspective. J Trauma 63(4):875–883PubMedCrossRef Giannoudis PV, Grotz MR, Tzioupis C et al (2007) Prevalence of pelvic fractures, associated injuries, and mortality: the United Kingdom perspective. J Trauma 63(4):875–883PubMedCrossRef
2.
Zurück zum Zitat Gänsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H (1996) Epidemiology of pelvic ring injuries. Injury 27(Suppl 1):S-A13-20 Gänsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H (1996) Epidemiology of pelvic ring injuries. Injury 27(Suppl 1):S-A13-20
3.
Zurück zum Zitat Laird A, Keating JF (2005) Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br 87(7):969–973PubMedCrossRef Laird A, Keating JF (2005) Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br 87(7):969–973PubMedCrossRef
4.
Zurück zum Zitat Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333 (Epub 2006 Dec 18). Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333 (Epub 2006 Dec 18).
5.
Zurück zum Zitat Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L (2002) Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 195(1):1–10PubMedCrossRef Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L (2002) Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 195(1):1–10PubMedCrossRef
7.
Zurück zum Zitat Ragnarsson B, Jacobsson B (1992) Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand 63(3):297–300PubMedCrossRef Ragnarsson B, Jacobsson B (1992) Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand 63(3):297–300PubMedCrossRef
8.
Zurück zum Zitat Melton LJ, Sampson JM, Morrey BF, Ilstrup DM (1981) Epidemiologic features of pelvic fractures. Clin Orthop Relat Res 155:43–47 Melton LJ, Sampson JM, Morrey BF, Ilstrup DM (1981) Epidemiologic features of pelvic fractures. Clin Orthop Relat Res 155:43–47
11.
Zurück zum Zitat Sattler T, Tobbia D, O’Shaughnessy M (2009) Hand injuries in foreign labour workers in an Irish university hospital. Can J Plast Surg Spring 17(1):22–24 Sattler T, Tobbia D, O’Shaughnessy M (2009) Hand injuries in foreign labour workers in an Irish university hospital. Can J Plast Surg Spring 17(1):22–24
12.
Zurück zum Zitat Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 78(11):1632–1645PubMed Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 78(11):1632–1645PubMed
13.
Zurück zum Zitat Wright R, Barrett K, Christie MJ, Johnson KD (1994) Acetabular fractures: long-term followup of open reduction and internal fixation. J Orthop Trauma 8(5):397–403PubMedCrossRef Wright R, Barrett K, Christie MJ, Johnson KD (1994) Acetabular fractures: long-term followup of open reduction and internal fixation. J Orthop Trauma 8(5):397–403PubMedCrossRef
14.
15.
Zurück zum Zitat Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333PubMedCrossRef Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333PubMedCrossRef
16.
Zurück zum Zitat Hauschild O, Strohm PC, Culemann U et al. (2008) Mortality in patients with pelvic fractures: results from the German pelvic injury register. J Trauma 64(2):449–455 Hauschild O, Strohm PC, Culemann U et al. (2008) Mortality in patients with pelvic fractures: results from the German pelvic injury register. J Trauma 64(2):449–455
17.
Zurück zum Zitat Pohlemann T, Tosounidis G, Bircher M, Giannoudis P, Culemann U (2007) The German Multicentre Pelvis Registry: a template for an European Expert Network? Injury 38(4):416–423 (Epub 2007 Mar 29)PubMedCrossRef Pohlemann T, Tosounidis G, Bircher M, Giannoudis P, Culemann U (2007) The German Multicentre Pelvis Registry: a template for an European Expert Network? Injury 38(4):416–423 (Epub 2007 Mar 29)PubMedCrossRef
18.
Zurück zum Zitat Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA (2006) History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg 1:32PubMedCrossRef Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA (2006) History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg 1:32PubMedCrossRef
Metadaten
Titel
Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: a 10-year experience
verfasst von
N. Davarinos
P. Ellanti
S. Morris
J. P. Mc Elwain
Publikationsdatum
01.06.2012
Verlag
Springer-Verlag
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 2/2012
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-011-0791-4

Weitere Artikel der Ausgabe 2/2012

Irish Journal of Medical Science (1971 -) 2/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.