Abstract:

Although pelvic fractures make up only 3% of all fractures, they are often devastating and common injury. It occurs frequently in motor vehicle accidents and is associated with significant mortality and morbidity as a result of neurological, urological, gastrointestinal and vascular system injuries. With this study, we aimed to contribute to the data about the pelvis trauma and share our experiences. Data for the study was collected with a retrospective scan of the patient files diagnosed with pelvic fractures that were addressed to the Emergency Service of the Faculty of Medicine of Fırat from January 2000 to December 2005. The data analysis was carried out with the SPSS 12.0 package program. During this period, the Emergency Service diagnosed 35 patients with pelvic fractures, including women (24.6) and 107 (75.4) men. There was a statistically significant difference between male and female patients (p<0.05). The average age was 38.18±1.42/year. The time of emergency application after the accident was an average of 465.93±208.93 minutes. As a trauma mechanism, motor vehicle accidents (62.7 percent), fall from height (26.4 percent) and other injuries (10.6 percent) took a significant place. While 32.4 percent of patients were only pelvic trauma, the joint injuries were identified as end trauma (28.2 percent), abdominal trauma (19 percent), head trauma (9.2 percent), thorax trauma (7.7 percent) and others (3.5 percent). In the emergency service, 21 (14.8%) patients were given blood transfusion. The patient’s time of emergency stay was an average of 191.47±7.54 minutes. 133 of the patients (93.7 percent) were dismissed after hospitalization, while 4 (2.8 percent) were dismissed. As a result, pelvic trauma affects especially the young age group. Because the mortality rates are high, it should be aggressive for diagnosis and treatment and a multidisciplinary approach should be applied.

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