Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers
| dc.contributor.author | Salášek, Martin | |
| dc.contributor.author | Havránek, Petr | |
| dc.contributor.author | Havlas, Vojtěch | |
| dc.contributor.author | Pavelka, Tomáš | |
| dc.contributor.author | Pešl, Tomáš | |
| dc.contributor.author | Stančák, Andrej | |
| dc.contributor.author | Hendrych, Jan | |
| dc.contributor.author | Džupa, Valér | |
| dc.date.accessioned | 2021-08-30T10:00:18Z | |
| dc.date.available | 2021-08-30T10:00:18Z | |
| dc.date.issued | 2021 | |
| dc.description.abstract-translated | Epidemiologic evaluation of pelvic ring injuries in children. Methods Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher’s exact test and Wilcoxon test. Results 243 boys, 115 girls, mean age (SD) 14.1 ± 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, com- bined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. Etiology: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). Discussion Results of this trial were comparable with other studies. Conclusion Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries. | en |
| dc.format | 16 s. | cs |
| dc.format.mimetype | application/pdf | |
| dc.identifier.citation | SALÁŠEK, M., HAVRÁNEK, P., HAVLAS, V., PAVELKA, T., PEŠL, T., STANČÁK, A., HENDRYCH, J., DŽUPA, V. Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers. International orhtopaedics, 2021, roč. 45, č. 8, s. 2033-2048. ISSN 0341-2695. | cs |
| dc.identifier.document-number | 669394200002 | |
| dc.identifier.doi | 10.1007/s00264-021-05105-2 | |
| dc.identifier.issn | 0341-2695 | |
| dc.identifier.obd | 43933256 | |
| dc.identifier.uri | 2-s2.0-85109347016 | |
| dc.identifier.uri | http://hdl.handle.net/11025/44974 | |
| dc.language.iso | en | en |
| dc.project.ID | EF17_048/0007280/Aplikace moderních technologií v medicíně a průmyslu | cs |
| dc.publisher | Springer | en |
| dc.relation.ispartofseries | International Orthopaedics | en |
| dc.rights | Plný text není přístupný. | cs |
| dc.rights | © Springer | en |
| dc.rights.access | closedAccess | en |
| dc.subject.translated | Pelvic ring | en |
| dc.subject.translated | Pediatric | en |
| dc.subject.translated | Fracture | en |
| dc.subject.translated | Epidemiology | en |
| dc.subject.translated | Multicentric study | en |
| dc.title | Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers | en |
| dc.type | článek | cs |
| dc.type | article | en |
| dc.type.status | Peer-reviewed | en |
| dc.type.version | publishedVersion | en |