Epidemiology of pelvic fractures in adult: Our experience at two tertiary care hospital in Dhaka,Bangladesh |
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| Affiliation: | 1. Department of Orthopedics, Dhaka Medical College Hospital, Bangladesh;2. Department of Orthopedics, Lab-aid Hospital, Bangladesh;3. Department of Oral and Maxillofacial Surgery, Dhaka Dental College Hospital, Bangladesh;1. R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USA;2. Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA;1. The North West Pelvic and Acetabular Surgery Service, Wrightington Hospital, Salford Royal Hospital, Manchester Royal Infirmary, United Kingdom;2. Salford Royal Hospital, United Kingdom;1. Hi-Tech Medical College, Pandara, Bhubaneswar, Odisha, 751025, India;2. Pelvic and Acetabular Reconstruction Unit, Southmead Hospital, Bristol, BS10 5NB, UK;3. Sardar Vallabhbhai Patel Institute of Medical Sciences and Research Hospital, Smt. NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, 380006, India;1. Krishna Institute of Medical Sciences, Hyderabad, India;2. Orthopaedics, ESIC Medical College, Hyderabad, India;1. Department of Orthopedics, Lady Hardinge Medical College and Associated Hospitals, N Delhi, India;2. Department of Orthopedics, All India Institute of Medical Sciences and Associated JPN ApexTrauma Centre, New Delhi, India;1. North Bristol NHS Trust, UK;2. Cairo University, Egypt |
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| Abstract: | PurposeIn Bangladesh the incidence of pelvic fracture is increasing day by day due to suboptimal roads and heavy traffic. However, there is no epidemiological study of these injuries in Bangladesh. Our aim was to study the epidemiology of patients admitted with pelvic fractures at two tertiary care hospital in Dhaka, Bangladesh.MethodsThis was a prospective study carried out on trauma patients with pelvic fracture at two level 1 trauma care center of two tertiary care hospital in Dhaka, Bangladesh. The study period was from July 2015 to June 2019 (48 months). Patient’s data including demography of patients, mechanism of injuries, fracture types, associated injuries, method of treatment, post-operative complications, length of hospital stay were recorded according to a unified protocol.ResultsThe study population was comprised of 696 patients, where 556 (79.88%) were male and 140 (20.12%) were female. Mean age was 37.75 years and road traffic accidents were the most common mode of injuries. Lateral compression fractures were the most common injuries and Urethral injuries were the most common associated injuries. Death was the outcome in 3.5% of the cases due to high energy trauma.ConclusionThis study revealed that pelvic fractures were significantly more frequent in men. Most frequent cause was road traffic accident. The majority of these cases did not required surgery. Mortality was associated with high velocity trauma with severe injuries. |
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| Keywords: | Pelvic fractures Epidemiology Type of fractures Treatment Tertiary care center |
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