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PELVIC FRACTURES ASSOCIATED WITH OPEN PERINEAL WOUNDS
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1993
Year
Trauma Center CareBlunt Pelviperineal TraumaPelvic TraumaPelvic Reconstructive SurgeryPatient SafetyOperative TreatmentSurgeryWound HealingTrauma TriageMortality RatesVisceral TraumaMedicineOrthopaedic SurgeryRapid Trauma AssessmentEmergency MedicineJuly 1984
Blunt pelviperineal trauma has been associated with mortality rates of 32% to 58% in recent literature. A review of our institution's experience revealed a much lower mortality rate, prompting further investigation. Nine hundred-seventy five patients with pelvic fractures were admitted to our institution from July 1984 through June 1991. The mortality rate for all pelvic fractures was 7.3%. During this interval 21 patients (2.2%) were admitted with open pelvic fractures. Only one patient in this group died. Our low mortality figures were the result of better control of pelvic hemorrhage and sepsis, and a lower incidence of associated injuries to the head and thorax, representing a more favorable mechanism of injury.