Document Type : Original Research
Authors
1
Department of Emergency Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2
Department of Biostatistics, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3
Clinical Research Development Unit, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract
Background and Aim: Pelvic fractures are among the most complex injuries encountered in traumatic events, accounting for approximately 2% to 8% of all fractures. Due to the potential involvement of vital structures and internal organs, accurate classification of the fracture type and identification of associated injuries play a crucial role in clinical management and prognosis.
Methods: This retrospective study was conducted on patients with trauma-induced pelvic fractures who were admitted to educational hospitals in Ahvaz between 2018 and 2020. Patient data were extracted from medical records, and fractures were categorized according to the Tile classification system into three types: A (stable), B (partially unstable), and C (completely unstable). Associated injuries were also recorded and analyzed. Data were processed using SPSS software and appropriate statistical tests.
Results: Type A fractures were the most prevalent, accounting for 63.2% of cases, whereas type C fractures, despite being less common (10%), were associated with the highest mortality rate (14.8%). A total of 25 types of associated injuries were identified, with facial trauma, lower limb fractures, and upper limb fractures being the most frequent. Statistical analysis revealed a significant association between fracture type and the incidence of injuries such as rib fractures, pneumothorax, injuries to abdominal organs, and spinal trauma (P<0.05). Type A was more commonly associated with facial and lower limb injuries, while type C was linked to more severe and life-threatening complications. No significant correlation was found between fracture type and variables such as sex, age, or mechanism of injury. However, type C fractures were markedly associated with worse clinical outcomes and higher mortality.
Conclusion: Type C pelvic fractures are associated with more severe clinical outcomes and a significantly higher mortality rate. These findings can inform clinical strategies for improved diagnosis, monitoring, and management of patients with pelvic fractures resulting from trauma.
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