Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Injuries
Study Details
Study Description
Brief Summary
Pelvic fractures are severe injuries which require advanced orthopedic surgical skills to treat. On the other hand, abdominal injuries are severe injuries, which might require quick general surgical treatment. The combination of both injuries is a challenge for orthopedic surgeons, as the abdominal injury might lead to a delayed surgical treatment of the pelvic fracture. Whether an associated abdominal injury influences the quality of care of pelvic fractures, is aim of this registry study.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
The German Pelvic Registry of the German Trauma Society is a multicenter prospective registry which collects data of patients with pelvic injuries since 2003. Beside demographic data (including concomitant injuries) allowing for epidemiological evaluations of the development of surgical care in these patients, namely the operative care is focus of this registry. Beside the chosen procedure or surgical approach, this includes both intraoperative data like time until operation, duration of the procedure or intraoperative blood loss and reduction parameters (pre- and postoperative fracture steps). The clinical course is recorded also including overall morbidity, overall mortality and osteosynthesis-related complications.
The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters like reduction quality or the clinical course in pelvic injuries has not been investigated yet.
The investigators therefore retrospectively analyze the prospective consecutive data of patients from the multicenter German Pelvic Registry of the German Trauma Society in the years 2003 - 2017. Demographic, clinical and operative parameter were recorded and compared in two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| isolated pelvic fracture Patients with an isolated pelvic fracture |
Procedure: osteosynthesis of the pelvis
Osteosynthetic Fixation of the pelvic fracture
|
| combined abodominal/pelvic injury Patients with a combined injury of a pelvic fracture and an abdominal injury. |
Procedure: osteosynthesis of the pelvis
Osteosynthetic Fixation of the pelvic fracture
|
Outcome Measures
Primary Outcome Measures
- "Matta" Grading [through study completion, at least 1 year after inclusion]
Quality of the reduction of the pelvic fracture measured in mm residual step at the fracture's site. A residual step of 0-2mm is graded as an "anatomical reduction" (=Matta 1), a residual step of 2-3mm is graded as an "Imperfect reduction" (=Matta 2) and a residual step >3mm is graded as a "poor reduction" (=Matta 3).
- Overall morbidity [through study completion, at least 1 year after inclusion]
Rate of overall complications
Secondary Outcome Measures
- osteosynthesis-associated complications [through study completion, at least 1 year after inclusion]
Rate of osteosynthesis-associated complications
- length of hospital stay [through study completion, at least 1 year after inclusion]
Duration of the inpatient Treatment, measured in days.
- Time until definitive pelvic surgery [through study completion, at least 1 year after inclusion]
The time until the definitive surgical procedure for the pelvic fracture, measured in days.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Pelvic fracture
Exclusion Criteria:
- no agreement to participate in the registry
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | BG Trauma Center | Tübingen | Germany | 72076 |
Sponsors and Collaborators
- BG Trauma Center Tuebingen
Investigators
- Principal Investigator: Markus A Küper, MD, BG Trauma Center Tübingen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 001