Epidemiological surgery of in-patients with pevic fracture in the Third Hopital of Hebei Medical University from 2016 to 2018

Abstract

Objective \nTo investigate the epidemiological characteristics of pelvic fracture inpatients in the Third Hospital of Hebei Medical University from 2016 to 2018. \n \n \nMethods \nData of all pelvic fractures treated from Jan. 2016 to Dec. 2018 were collected by medical image computer archiving and transmission system and medical record inquiry system. The demographic data, basic sociological data, traumatic factors and surgical factors were analyzed. \n \n \nResults \nAll 357 patients with pelvic fracture were collected. From 2016 to 2018, the number of pelvic fractures increased year by year. There were 234 males and 123 females, and the ratio of males to females was 1.90: l. The high incidence of fracture in male and female patients ranged from 41 to 50 years old (39.7%). Farmers (166 cases, 46.5%), rural areas (290 cases, 81.2%) and spring patients (104 cases, 29.1%) accounted for a higher proportion. Traffic injuries (169 cases, 47.3%) and high energy injuries (284 cases, 79.6%) accounted for the highest proportion. Most patients (287 cases, 80.4%) underwent surgical treatment for pelvic fractures, including internal fixation (266 cases, 74.5%), plate fixation (190 cases, 71.4%) and open reduction (209 cases, 72.8%). Local anesthesia (176 cases, 49.3%) or general anesthesia (155 cases, 43.4%) were mostly used. \n \n \nConclusion \nThis study suggests that pelvic fractures are common in farmers, spring, 41-50 years old patients are the majority, traffic injuries and other high-energy injuries are the main causes of injury, open reduction and internal fixation and plate internal fixation are the main clinical surgical methods; pelvic fracture patients in our hospital have shown an upward trend in the past three years. \n \n \nKey words: \nPelvic;\xa0fractures, Bone;\xa0Epidemiology;\xa0Sex factor;\xa0Age factor