Comparing the predictive value of the pelvic ring injury classification systems by Tile and by Young and Burgess

Injury
Georg OsterhoffClément M L Werner

Abstract

Radiology-based classifications of pelvic ring injuries and their relevance for the prognosis of morbidity and mortality are disputed in the literature. The purpose of this study was to evaluate potential differences between the pelvic ring injury classification systems by Tile and by Young and Burgess with regard to their predictive value on mortality, transfusion/infusion requirement and concomitant injuries. Two-hundred-and-eighty-five consecutive patients with pelvic ring fractures were analyzed for mortality within 30 days after admission, number of blood units and total volume of fluid infused during the first 24h after trauma, the Abbreviated Injury Severity (AIS) scores for head, chest, spine, abdomen and extremities as a function of the Tile and the Young-Burgess classifications. There was no significant relationship between occurrence of death and fracture pattern but a significant relationship between fracture pattern and need for blood units/total fluid volume for Tile (p<.001/p<.001) and Young-Burgess (p<.001/p<.001). In both classifications, open book fractures were associated with more fluid requirement and more severe injuries of the abdomen, spine and extremities (p<.05). When divided into the larger subgroups ...Continue Reading

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Citations

Nov 14, 2015·Journal of Clinical Orthopaedics and Trauma·Mohamad J Halawi
Sep 24, 2015·Journal of Orthopaedic Trauma·Manish K Sethi, Hassan R Mir
Mar 15, 2015·Injury·S RuattiJ Tonetti
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Jun 14, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Daniel BanaszekKelly A Lefaivre
Feb 28, 2020·Experimental and Therapeutic Medicine·Qing YangFugen Pan
Oct 9, 2014·Revista do Colégio Brasileiro de Cirurgiões·José Gustavo ParreiraJosé Cesar Assef
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Apr 17, 2019·BMC Surgery·Georg OsterhoffClément M L Werner
May 19, 2017·The Journal of Trauma and Acute Care Surgery·Todd W CostantiniUNKNOWN AAST Pelvic Fracture Study Group
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Feb 10, 2021·Journal of Orthopaedic Surgery and Research·Myoung Jun KimSeung Hwan Lee
Mar 23, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Yong-Gang LiXi-Guang Sang

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