CAJ | 학술논문

Objectives:To report our experience of regional referral center for the pelvis.Methods:We treated526 pelvic fractures fromJanuary2004 toDecember2014 in three regional reference centers for pelvic trauma.Men were480 and women were46 and ages ranged from16 to93 years old.Car(65%) and farm(20%) crashes were the most frequent causes of pelvis fractures.Injury severity scores ranged from9.0 to75.0, with a mean of37.5.A defined algorithm for fracture management has been in place and employed to assure adequate resuscitation and fracture care. Results:There were24 deaths in total(4.56%).Sixty three(11.98%) patients underwent angio-embolization for control of bleeding(12 deaths).The average amount of blood transfused was 8.3IU.Hospital lengths of stay ranged between1-35 days.Among the502 alive patients,55.98% were able to be discharged at home while the remaining44.02% being transferred to various rehabilitation facilities or extended care facilities.Conclusions:The goal of initial management is to restore vital indicators, urinary excretion function and protect the patient from infectious complications.An emergency decisional algorithm helps manage hemodynamic instability.Initial bone and ligament procedures should reduce displacement and make it possible for the patient to wait until his condition is stable enough for definitive surgical fixation.