Clinical behavior of traumatic fractures of the pelvic ring. Matanzas, 2021-2024
Keywords:
Pelvic Fractures; Pelvic Trauma; Tile Classification; Associated Injuries; Hemodynamic StabilityAbstract
Introduction: Pelvic ring injuries constitute high-complexity trauma that diminishes individual quality of life. The increase in high-impact trauma has elevated their incidence, representing 3 % to 8 % of all fractures, with mortality of 10 % to 16 %.
Objective: To determine the clinical behavior of traumatic pelvic ring injuries treated at the Provincial Clinical Surgical Teaching Hospital "Comandante Faustino Pérez Hernández" in Matanzas, during 2021-2024.
Methods: Observational, descriptive, retrospective and cross-sectional study. Thirty-seven patients with image-confirmed traumatic pelvic ring fracture were included through consecutive sampling. Epidemiological variables, Marvin Tile classification, associated injuries and hemodynamic stability were analyzed. Statistical processing was performed with SPSS 21.0.
Results: Male sex (59.5 %) and the 26-45 years age group (54 %) predominated. Traffic accidents were the main mechanism (83.8 %). Tile type B fractures predominated (59.5 %). All patients presented associated non-orthopedic injuries (average 2.1 per patient) and 62.2 % orthopedic injuries. Hemodynamic instability (SBP < 100 mmHg) was observed in 64.9 %, but only 21.6 % required massive transfusion.
Conclusions: Traumatic pelvic ring fractures in Matanzas predominated in young males, due to high-energy traffic accidents, with Tile type B classification most frequent. The high prevalence of associated injuries and partially compensated hemodynamic instability evidence the need for multidisciplinary management and orthopedic damage control.
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