Pelvic Fractures and Novel Treatments—from Injury to Operating Theatre

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (20 January 2024) | Viewed by 1132

Special Issue Editor

Special Issue Information

Dear Colleagues,

Pelvic fractures are the third most common cause of death in commutation accidents, after central nervous system and thoracic injuries. These kinds of fractures represent an increasing clinical challenge as a result of intensive transport developments.

Due to the complex nature of high-impact injuries, pelvic fracture patients remain are of interest not only to the orthopedist, but also to an interdisciplinary team of specialists. A better understanding of treatment options is mandatory in pelvic fractures. New treatment strategies will increase the quality and outcome of patient care.

This Special Issue will focus on the pathophysiology, biomechanics, and clinical outcome of pelvic fractures. We will also focus on novel insights into the diagnosis and treatment of pelvic trauma.

Dr. Jan Zabrzyński
Guest Editor

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Keywords

  • pelvic fracture
  • pelvis
  • trauma
  • multitrauma
  • acetabulum fracture

Published Papers (1 paper)

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Research

13 pages, 1990 KiB  
Article
The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients
by Tomasz Pielak, Rafał Wójcicki, Piotr Walus, Adam Jabłoński, Michał Wiciński, Przemysław Jasiewicz, Bartłomiej Małkowski, Szymon Nowak and Jan Zabrzyński
Appl. Sci. 2023, 13(18), 10546; https://doi.org/10.3390/app131810546 - 21 Sep 2023
Viewed by 876
Abstract
Objective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 [...] Read more.
Objective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The inclusion criteria were pelvic fractures and indications for operative treatment (LC II and III, APC II and III, and VS). The exclusion criteria were non-operative treatment for pelvic ring fractures, acetabular fractures and fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Demographic data were collected, including age (in years), sex, type of fracture according to Young–Burgess, date of injury and surgery, surgical approach and stabilization methods, mechanism of trauma, concomitant trauma in other regions, body mass index (BMI), blood transfusions, number of days spent in the hospital, and surgery duration. Results: Patients who suffered from a pelvic ring injury with concomitant injuries had a significantly greater amount of blood units transferred (1.02 units vs. 0.55 units), and the length of hospital stay was also longer compared to the mean results (5.84 days vs. 3.58 days), p = 0.01 and p = 0.001, respectively. Moreover, patients with a higher BMI had more frequent APC II and APC III fractures (p = 0.012). Conclusions: This study demonstrates that polytrauma patients who suffered from pelvic ring injury are, indeed, at risk of blood transfusion in terms of greater units of blood and a longer duration of hospital stay. Moreover, BMI has an impact on pelvic ring fracture morphology. However, there is no doubt that there is an absolute need for further studies and investigations to provide better overall management of polytrauma patients with pelvic fractures. Full article
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