Combat-Related Pelvis Fractures in Nonsurvivors
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
Pagination or Media Count:
Background The purpose of this study was to describe pelvic fractures and their associated injuries in service members who either died of wounds or were killed in action during Operation Iraqi Freedom and Operation Enduring Freedom and define any differences in associated injuries between penetrating versus blunt injury to the pelvis. Methods A review of all service members who sustained a pelvis fracture during Operation Iraqi Freedom and Operation Enduring Freedom in the year 2008 was performed. Data were recorded for analysis. Results One hundred four nonsurvivors were identified with pelvic fractures. Appropriate records, photos, and radiographs were available for 91, 70 were classified as Not Survivable 77 and 21 Potentially Survivable 23. Mechanisms of injury included 69 blast 76, 14 gunshot wounds 15, 4 motor vehicle accidents 4.5, and 4 other 4.5. Direct injury to the pelvis was penetrating in 60 66 and blunt in 31 34. Large pelvic vessel injury was observed more frequently in penetrating pelvic injuries 27 than blunt injuries 3. Hollow viscus abdominal injuries were more common in those with penetrating 57 than blunt injuries 10. There was an inverse relationship with intra-abdominal, solid organ injuries blunt, 81 penetrating, 55. Head injuries were also more common in blunt pelvic injuries blunt, 68 penetrating, 45, as were cardiopulmonary injuries blunt, 84, penetrating injuries, 57. Conclusions Large pelvic vessel and hollow viscus injuries occur more frequently in penetrating combat-related pelvic fractures, whereas intraabdominal solid organ, head, and cardiopulmonary injuries are more common in blunt pelvic injuries.
- Anatomy and Physiology
- Medicine and Medical Research