Martin Salášek1,2,3, Petr Havránek4, Vojtěch Havlas5, Tomáš Pavelka6, Tomáš Pešl4, Andrej Stančák5, Jan Hendrych4, Valér Džupa7. 1. Department of Orthopaedics and Traumatology, Faculty of Medicine of Charles University, and University Hospital, Pilsen, Czech Republic. martin.salasek@seznam.cz. 2. New Technologies for the Information Society, Faculty of Applied Sciences of University of West Bohemia, Pilsen, Czech Republic. martin.salasek@seznam.cz. 3. , Plzeň, Czech Republic. martin.salasek@seznam.cz. 4. Department of Pediatric and Trauma Surgery, Third Faculty of Medicine of Charles University, and Thomayer Hospital, Prague, Czech Republic. 5. Department of Orthopaedics, Second Faculty of Medicine of Charles University, and University Hospital Motol, Prague, Czech Republic. 6. Department of Orthopaedics and Traumatology, Faculty of Medicine of Charles University, and University Hospital, Pilsen, Czech Republic. 7. Department of Orthopaedics and Traumatology, Third Faculty of Medicine of Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Abstract
AIM OF THE STUDY: Epidemiologic evaluation of pelvic ring injuries in children. METHODS: Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test. RESULTS: 243 boys, 115 girls, mean age (SD) 14.1 ± 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. ETIOLOGY: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). DISCUSSION: Results of this trial were comparable with other studies. CONCLUSION: Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.
AIM OF THE STUDY: Epidemiologic evaluation of pelvic ring injuries in children. METHODS: Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test. RESULTS: 243 boys, 115 girls, mean age (SD) 14.1 ± 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. ETIOLOGY: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). DISCUSSION: Results of this trial were comparable with other studies. CONCLUSION: Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.
Authors: Joao Antonio Matheus Guimarães; Pedro Henrique B Mendes; Frederico C M Vallim; Leonardo R Rocha; Tito H N Rocha; Isabel Cristina C do Val; Maria Eugenia L Duarte Journal: Injury Date: 2014-11 Impact factor: 2.586
Authors: Mohamed Arafa; Ahmed A Khalifa; Ali Fergany; Mostafa A Abdelhafez; Aly Mohamedean; Faisal Fahmy Adam; Osama Farouk Journal: Int Orthop Date: 2022-07-23 Impact factor: 3.479