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Irish Journal of Medical Science

, Volume 181, Issue 2, pp 243–246 | Cite as

Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: a 10-year experience

  • N. Davarinos
  • P. Ellanti
  • S. Morris
  • J. P. Mc Elwain
Original Article

Abstract

Background

Pelvic fractures are usually the result of high-energy trauma and may have associated soft tissue and organ damage resulting in significant morbidity and mortality in these patients. Currently, there is little data from Ireland regarding these injuries.

Objective

To study the epidemiology of pelvic fractures presenting to a tertiary referral centre in Dublin.

Methods

Patients referred with a pelvic fracture were identified using the Hospital Inpatient Enquiry System (HIPE) from 1998 to 2008. The patient’s medical notes were reviewed for demographic data, type and mechanism of fracture and associated injuries.

Results

A total of 509 patients were identified over the 10-year period. 466 patients were included in the study. There was a significant male preponderance 76% (n = 354) as compared to females 24% (n = 112). Mean age was 36.5 years (range 16–83). Road traffic accidents (RTA) were the cause in 74% (n = 346) of the cases.

Conclusion

From our study, the typical patient profile is one of a male in his 30’s involved in an RTA requiring acetabular surgery. This is in accordance with previously published international data and highlights the need for specialised units, training in this subspecialty and allocation of resources.

Keywords

Pelvis Acetabular trauma Epidemiology 

Notes

Conflict of interest

None.

References

  1. 1.
    Giannoudis PV, Grotz MR, Tzioupis C et al (2007) Prevalence of pelvic fractures, associated injuries, and mortality: the United Kingdom perspective. J Trauma 63(4):875–883PubMedCrossRefGoogle Scholar
  2. 2.
    Gänsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H (1996) Epidemiology of pelvic ring injuries. Injury 27(Suppl 1):S-A13-20Google Scholar
  3. 3.
    Laird A, Keating JF (2005) Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br 87(7):969–973PubMedCrossRefGoogle Scholar
  4. 4.
    Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333 (Epub 2006 Dec 18).Google Scholar
  5. 5.
    Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L (2002) Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 195(1):1–10PubMedCrossRefGoogle Scholar
  6. 6.
    Population Estimates: Central Statistics Office http://www.cso.ie/px/pxeirestat/database/eirestat/Population%20Estimates/Population%20Estimates_statbank.asp. Accessed 15 December 2009
  7. 7.
    Ragnarsson B, Jacobsson B (1992) Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand 63(3):297–300PubMedCrossRefGoogle Scholar
  8. 8.
    Melton LJ, Sampson JM, Morrey BF, Ilstrup DM (1981) Epidemiologic features of pelvic fractures. Clin Orthop Relat Res 155:43–47Google Scholar
  9. 9.
    Collision Fact Book: Road Safety Authority (2009) http://www.rsa.ie/Documents/Road%20Safety/Crash%20Stats/Collision_Fact_Book_07.pdf. Accessed 15 December 2009
  10. 10.
  11. 11.
    Sattler T, Tobbia D, O’Shaughnessy M (2009) Hand injuries in foreign labour workers in an Irish university hospital. Can J Plast Surg Spring 17(1):22–24Google Scholar
  12. 12.
    Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 78(11):1632–1645PubMedGoogle Scholar
  13. 13.
    Wright R, Barrett K, Christie MJ, Johnson KD (1994) Acetabular fractures: long-term followup of open reduction and internal fixation. J Orthop Trauma 8(5):397–403PubMedCrossRefGoogle Scholar
  14. 14.
    Krikler SJ (2010) Problems with pelvic and acetabular fracture data. Injury 41(7):676PubMedCrossRefGoogle Scholar
  15. 15.
    Geoghegan JM, Longdon EJ, Hassan K, Calthorpe D (2007) Acetabular fractures in the UK. What are the numbers? Injury 38(3):329–333PubMedCrossRefGoogle Scholar
  16. 16.
    Hauschild O, Strohm PC, Culemann U et al. (2008) Mortality in patients with pelvic fractures: results from the German pelvic injury register. J Trauma 64(2):449–455Google Scholar
  17. 17.
    Pohlemann T, Tosounidis G, Bircher M, Giannoudis P, Culemann U (2007) The German Multicentre Pelvis Registry: a template for an European Expert Network? Injury 38(4):416–423 (Epub 2007 Mar 29)PubMedCrossRefGoogle Scholar
  18. 18.
    Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA (2006) History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg 1:32PubMedCrossRefGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2011

Authors and Affiliations

  • N. Davarinos
    • 1
  • P. Ellanti
    • 1
  • S. Morris
    • 1
  • J. P. Mc Elwain
    • 1
  1. 1.Department of Trauma and Orthopaedic SurgeryAMNCHDublin 24Ireland

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