BACKGROUND: Historically, open pelvic fractures have a high mortality rate. The Jones-Powell Classification system was developed to assist with morbidity and mortality prediction.The purposes of our study were twofold: 1. Apply the Jones-Powell Classification to mortality rates of open pelvic fractures; 2. Because the original article published on the Jones-Powell Classification was from 1997, there have been advances in the early treatment of pelvic fractures to include the use of the pelvic binder, early diverting colostomies, and emergent angiography. We wanted to examine if any of those acute interventions affected mortality rate. METHODS: This is a retrospective review of all patients presenting with open pelvic fractures at six Level I trauma centers between 2000 and 2006. RESULTS: There were 64 patients with an average age of 34 years (range, 17-57 years). Fourteen had stable pelvic fracture patterns, and 50 had unstable fracture patterns. The overall mortality rate in our study was 15 patients (23%). All patients who died had an unstable pelvic fracture and/or rectal laceration. Sixteen patients had diverting colostomies within 48 hours of injury. There were four patients with rectal lacerations and no patients with diverting colostomies who died. DISCUSSION: In our population group, there was an overall mortality rate of 23%. A Jones-Powell Class 3 injury had a 38% mortality rate. The presence of a rectal laceration may serve as a marker for the severity of the patient's injuries and increased risk of mortality. LEVEL OF EVIDENCE: Epidemiologic study, level IV.
BACKGROUND: Historically, open pelvic fractures have a high mortality rate. The Jones-Powell Classification system was developed to assist with morbidity and mortality prediction.The purposes of our study were twofold: 1. Apply the Jones-Powell Classification to mortality rates of open pelvic fractures; 2. Because the original article published on the Jones-Powell Classification was from 1997, there have been advances in the early treatment of pelvic fractures to include the use of the pelvic binder, early diverting colostomies, and emergent angiography. We wanted to examine if any of those acute interventions affected mortality rate. METHODS: This is a retrospective review of all patients presenting with open pelvic fractures at six Level I trauma centers between 2000 and 2006. RESULTS: There were 64 patients with an average age of 34 years (range, 17-57 years). Fourteen had stable pelvic fracture patterns, and 50 had unstable fracture patterns. The overall mortality rate in our study was 15 patients (23%). All patients who died had an unstable pelvic fracture and/or rectal laceration. Sixteen patients had diverting colostomies within 48 hours of injury. There were four patients with rectal lacerations and no patients with diverting colostomies who died. DISCUSSION: In our population group, there was an overall mortality rate of 23%. A Jones-Powell Class 3 injury had a 38% mortality rate. The presence of a rectal laceration may serve as a marker for the severity of the patient's injuries and increased risk of mortality. LEVEL OF EVIDENCE: Epidemiologic study, level IV.
Authors: Nermarie Velazquez; Richard Jacob Fantus; Richard Joseph Fantus; Samuel Kingsley; Marc A Bjurlin Journal: World J Urol Date: 2019-03-30 Impact factor: 4.226
Authors: Salin Pereira Warr; Paula M Jaramillo; Sebastian Tobon Franco; Carlos Oliver Valderrama-Molina; Alfredo Constain Franco Journal: Eur J Orthop Surg Traumatol Date: 2018-02-10
Authors: Hao Wang; Richard D Robinson; Billy Moore; Alexander J Kirk; Jessica Laureano Phillips; Johnbosco Umejiego; Joseph Chukwuma; Tyler Miller; Donna Hassani; Nestor R Zenarosa Journal: Scand J Trauma Resusc Emerg Med Date: 2016-03-10 Impact factor: 2.953
Authors: Vincenzo Giordano; Hilton Augusto Koch; Savino Gasparini; Felipe Serrão de Souza; Pedro José Labronici; Ney Pecegueiro do Amaral Journal: Open Orthop J Date: 2016-12-20