TOTBİD Dergisi

TOTBİD Dergisi

2012, Cilt 11, Sayı, 2     (Sayfalar: 089-095)

Evaluation and classification of pelvic fractures

Kemal Durak 1, Burak Akesen 1

1 Uludağ Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Bursa

DOI: 10.5606/totbid.dergisi.2012.12
Görüntüleme: 509
İndirme : 2488

Pelvic fractures account for 1-3% of all orthopedic fractures. The overall mortality rate ranges from 10-50%, depending on the concomitant injuries in terms of pelvic fractures. Hemorrhage is the cause of early mortality in 60% of cases, while sepsis and multiple organ failure are the major cause of late mortality. In the evaluation of the patients with pelvic trauma, the surgeon should be alert to detect open pelvic fractures, as these fractures and visceral injuries may increase the mortality rate up to 45%. The diagnosis of pelvic fracture is made on the basis of radiological findings. In addition, a total of 94% of cases with pelvic fracture can be diagnosed by the anteroposterior, inlet and outlet radiographic views of the pelvis. Computed tomography is also effective in defining the extent of the injury which cannot be detected by conventional radiography in 85% of cases. In addition, magnetic resonance imaging (MRI) may provide complementary information on soft tissues and posterior ligaments, in particular, even though the role of MRI in the diagnosis of pelvic fractures is controversial. The Tile and Young-Burgess systems are the most widely used systems in the classification of the pelvic fractures. Tile classified pelvic fractures as stable, partially stable, rotational and vertically unstable, whereas Young-Burgess expanded Tile`s classification to predict mechanism of injury with the addition of combined mechanism of injury. In conclusion, the initial evaluation of the patients in terms of hemodynamic stability, the severity of the trauma, mechanism of injury, type of fracture and concomitant injuries is critical to establish treatment goals for the patients with pelvic fracture.

Anahtar Kelimeler : Classification; pelvic fractures; radiology