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. 1991 Mar;73(2):325-9.
doi: 10.1302/0301-620X.73B2.2005166.

Open fractures of the pelvis. Review of 43 cases

P B Hanson  1 , J C Milne, M W Chapman
Affiliations

Open fractures of the pelvis. Review of 43 cases

P B Hanson et al. J Bone Joint Surg Br. 1991 Mar.

Abstract

We reviewed 43 patients treated from 1984 to 1988 for open fractures of the pelvis. There were four Gustilo type I wounds, seven type II and 32 type III; 22 fractures were stable and 21 unstable. The overall mortality was 30%; the average Injury Severity Score was 30, being 26 in the survivors and 40 in the fetal cases. We analysed the influence of a number of factors on the mortality rate. The most important were the ISS and the age in years, while the presence of a type III wound and instability of the fracture also had an influence. We describe two simple methods of assessment of the prognosis in individual cases, based on these factors.

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