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. 2025 Jul 2;35(1):286.
doi: 10.1007/s00590-025-04413-2.

Occurrence and overview of appendicular fractures associated with high-energy unstable pelvic ring injuries: experience from a level 1 trauma center

Leonardo Comerlatto  1   2 , Natália Henz Concatto  3 , Déborah Silveira König  4 , Vincenzo Giordano  5 , Leandro de Freitas Spinelli  6 , Marcelo Faria Silva  6
Affiliations

Occurrence and overview of appendicular fractures associated with high-energy unstable pelvic ring injuries: experience from a level 1 trauma center

Leonardo Comerlatto et al. Eur J Orthop Surg Traumatol. .

Abstract

Purpose: To determine the occurrence and the main associated fractures involving the appendicular skeleton in a group of patients with mechanically unstable pelvic ring injuries (PRI's).

Methods: Patients with high-energy unstable PRI's who underwent surgical treatment at a level 1 trauma center between May 1, 2019, and March 31, 2024, were retrospectively evaluated. Sex, age, and the Young-Burgess classification were assessed, as well the occurrence and type of associated fracture(s) involving upper and lower limbs.

Results: The sample consisted of 143 individuals, predominantly young male with pelvic ring injuries caused by an anteroposterior compression mechanism. Of these, 74 (51.7%) individuals presented associated fracture(s) involving the appendicular skeleton. Frequency and distribution of associated fractures by anatomical location were determined, with a notable incidence of fractures involving forearm distal segment and femoral diaphyseal segment, each affecting 16 individuals (11.2%) CONCLUSION: A high occurrence of fractures involving upper and lower limbs in patients with high-energy unstable PRI's was identified. The detailed presentation of distribution allowed recognition of the main fractures involving extremities in the analyzed sample.

Keywords: Associated injuries; High energy trauma; Multiple injured patients; Pelvic ring injuries.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

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