D Schneidmueller1, S Wutzler, A Kelm, H Wyen, F Walcher, I Marzi. 1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland. Dorien.Schneidmueller@kgu.de
Abstract
BACKGROUND: Pelvic fractures are uncommon injuries in paediatric trauma patients because of specific anatomical features. Due to the low incidence there is no standardized therapeutic algorithm. MATERIAL AND METHODS: This retrospective review evaluates paediatric pelvic fractures of a Level I Trauma Centre over 5 years. In addition, we compared the data with adult pelvic fractures and reviewed the literature. A total of 37 pelvic fractures (≤16 years) were documented, with an incidence of 9.9% in the child with multiple injuries. The most common injury mechanisms were traffic accidents, followed by falls from heights. RESULTS: Type A injuries occurred in 50% (type B: 16%, type C: 27%, acetabular injuries: 11%). Osteosynthesis was performed in nine cases. Therapeutic intervention was necessary in three cases of haemodynamically relevant bleeding; 97% of all children had associated injuries (mean ISS: 38). CONCLUSION: Our data showed some differences to the literature. Pelvic fractures are predictors for high injury severity. Despite similar fracture pattern, in contrast to adults most injuries could be treated non-operatively. In unstable or dislocated fractures open reduction and stabilization must be performed.
BACKGROUND: Pelvic fractures are uncommon injuries in paediatric traumapatients because of specific anatomical features. Due to the low incidence there is no standardized therapeutic algorithm. MATERIAL AND METHODS: This retrospective review evaluates paediatric pelvic fractures of a Level I Trauma Centre over 5 years. In addition, we compared the data with adult pelvic fractures and reviewed the literature. A total of 37 pelvic fractures (≤16 years) were documented, with an incidence of 9.9% in the child with multiple injuries. The most common injury mechanisms were traffic accidents, followed by falls from heights. RESULTS: Type A injuries occurred in 50% (type B: 16%, type C: 27%, acetabular injuries: 11%). Osteosynthesis was performed in nine cases. Therapeutic intervention was necessary in three cases of haemodynamically relevant bleeding; 97% of all children had associated injuries (mean ISS: 38). CONCLUSION: Our data showed some differences to the literature. Pelvic fractures are predictors for high injury severity. Despite similar fracture pattern, in contrast to adults most injuries could be treated non-operatively. In unstable or dislocated fractures open reduction and stabilization must be performed.
Authors: Madhav A Karunakar; James A Goulet; Kelly L Mueller; Asheesh Bedi; Theodore T Le Journal: J Pediatr Orthop Date: 2005 Jan-Feb Impact factor: 2.324
Authors: Wade Smith; Paul Shurnas; Steve Morgan; Juan Agudelo; Gianna Luszko; Eric C Knox; Gaia Georgopoulos Journal: J Bone Joint Surg Am Date: 2005-11 Impact factor: 5.284