Abstract: Introduction: Pelvic ring fractures and disjunctions are rare but can be life-threatening in the short term, as well as functionally. This study aimed to determine the frequency of pelvic trauma and to describe its management.
Patients and Method: This study was retrospective and descriptive over two years, from January 2021 to December 2022. It involved patients aged 15 years and over with fractures or disruptions of the pelvic ring and had been treated in the traumatology-orthopaedics department of the Kara University Hospital. The parameters studied were epidemiological, lesional, therapeutic and evolutionary.
Results: During the study period, 41 cases of patients with pelvic fractures or disjunctions were selected from a total of 856 admissions for 1112 fractures. This represented 4.78% of admissions and 3.38% of all fractures. The average age was 34 years. Males predominated (71%, n=29); females accounted for 29%, n=12. Motorbike taxi drivers (29%, n=12) and farmers (24%, n=10) constituted the most represented social strata. According to the AO/OTA classification, stable pelvic fractures, classified as type A, were the most frequent (51%, n=21). These were followed by type B lesions (34%, n=14); then type C (15%, n=6). The violence of the trauma (mean ISS score =20) led to cases of polytrauma (22%, n=9). Haemodynamic instability was found in 37% (n=15). There were 4 cases (10%) of rupture of the posterior urethra and 3 patients (7%) had a perineal wound. There was an associated distant lesion in 15 other cases (37%). Treatment for osteoarticular injuries to the pelvis was functional (61%; n=25) and orthopaedic (34%; n=14). There were two deaths (5%). Thirty-nine (39) patients were reviewed. The mean overall Majeed score was 93 (34-100).
Conclusion: Pelvic ring fractures and disjunctions are uncommon but serious. Because of the limited technical resources and the financial difficulties of patients, only functional and orthopaedic means are used for treatment, with satisfactory results.
