PDF(Pubmed)
Abstract：
UNASSIGNED: Albeit rare, open pelvic fractures are life threatening injuries associated with significant morbidity and mortality. Due to their rarity, there is paucity of data and literature on best management practices. An open pelvic fracture is one where there is a connection between the fracture site and either the skin, rectum, vagina, or genitourinary system. They commonly affect young individuals involved in high energy injuries. During resuscitation, prompt recognition and control of sepsis and stabilization of unstable fractures should precede definitive management.
UNASSIGNED: We conducted a retrospective study of prospectively collected data between 2012 and 2022 for patients managed in two teaching hospitals in Kenya. All patients were followed up for at least 6 months. The Faringer classification was used to classify the soft tissue wounds and the Young and Burgess classification was used to classify the pelvic fractures. We investigated their functional outcomes using their ability to ambulate independently and the Merle d\' Aubigne-Postel score.
UNASSIGNED: Eight patients with an average age of 31 years were included. All were referrals. Three (37.5 %) developed sepsis but resolved. Four (50 %) needed a diverting stoma, which included 2 of the 3 patients who had developed sepsis. 5(62.5 %) needed an external fixator as part of definitive management. There were no mortalities. All achieved full independent ambulation; and all our patients achieved an average Merle d\' Aubigne-Postel score of 17.
UNASSIGNED: Our study demonstrates that early sepsis control, appropriate fracture fixation and a multidisciplinary approach can yield satisfactory functional outcomes.
UNASSIGNED: We conducted a retrospective study of prospectively collected data between 2012 and 2022 for patients managed in two teaching hospitals in Kenya. All patients were followed up for at least 6 months. The Faringer classification was used to classify the soft tissue wounds and the Young and Burgess classification was used to classify the pelvic fractures. We investigated their functional outcomes using their ability to ambulate independently and the Merle d\' Aubigne-Postel score.
UNASSIGNED: Eight patients with an average age of 31 years were included. All were referrals. Three (37.5 %) developed sepsis but resolved. Four (50 %) needed a diverting stoma, which included 2 of the 3 patients who had developed sepsis. 5(62.5 %) needed an external fixator as part of definitive management. There were no mortalities. All achieved full independent ambulation; and all our patients achieved an average Merle d\' Aubigne-Postel score of 17.
UNASSIGNED: Our study demonstrates that early sepsis control, appropriate fracture fixation and a multidisciplinary approach can yield satisfactory functional outcomes.
摘要：
■尽管罕见，开放性骨盆骨折是危及生命的损伤，具有显著的发病率和死亡率。由于它们的稀有性,关于最佳管理实践的数据和文献很少。开放性骨盆骨折是指骨折部位和皮肤之间存在连接，直肠,阴道,或泌尿生殖系统。它们通常会影响高能量伤害的年轻人。在复苏期间,在明确治疗之前，应迅速识别和控制脓毒症和稳定不稳定骨折。
■我们对2012年至2022年之间在肯尼亚两家教学医院管理的患者进行了前瞻性收集的数据进行了回顾性研究。所有患者均随访至少6个月。Faringer分类用于对软组织伤口进行分类，Young和Burgess分类用于对骨盆骨折进行分类。我们使用他们的独立行走能力和Merled'Aubigne-Postel评分调查了他们的功能结果。
■纳入8名平均年龄为31岁的患者。都是转介。三人（37.5％）发生败血症，但已解决。四个(50%)需要一个分流造口，其中包括3例发生脓毒症的患者中的2例。5（62.5％）需要外部固定器作为明确管理的一部分。没有死亡。所有患者均实现了完全独立行走；我们所有患者的平均Merled'Aubigne-Postel评分均为17分。
■我们的研究表明，早期脓毒症控制，适当的骨折固定术和多学科方法可以产生令人满意的功能结局.
■我们对2012年至2022年之间在肯尼亚两家教学医院管理的患者进行了前瞻性收集的数据进行了回顾性研究。所有患者均随访至少6个月。Faringer分类用于对软组织伤口进行分类，Young和Burgess分类用于对骨盆骨折进行分类。我们使用他们的独立行走能力和Merled'Aubigne-Postel评分调查了他们的功能结果。
■纳入8名平均年龄为31岁的患者。都是转介。三人（37.5％）发生败血症，但已解决。四个(50%)需要一个分流造口，其中包括3例发生脓毒症的患者中的2例。5（62.5％）需要外部固定器作为明确管理的一部分。没有死亡。所有患者均实现了完全独立行走；我们所有患者的平均Merled'Aubigne-Postel评分均为17分。
■我们的研究表明，早期脓毒症控制，适当的骨折固定术和多学科方法可以产生令人满意的功能结局.
