1. Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore.
- Author
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Singh A, Min Lim AS, Huh Lau BP, and O'Neill G
- Subjects
- Accidents, Traffic, Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Singapore epidemiology, Tertiary Care Centers, Young Adult, Crush Injuries complications, Fractures, Bone etiology, Hip Fractures complications, Pelvic Bones injuries, Spinal Fractures
- Abstract
Introduction: Pelvic and acetabular fractures (PAFs) usually result from high-energy, potentially life-threatening accidents. They are one of the major injuries that lead to death in patients involved in such accidents. We studied the recent epidemiology of these injuries in Singapore., Methods: This is a retrospective data analysis of all trauma patients who underwent surgery for PAFs from 2008 to 2016 in a tertiary trauma centre in Singapore. Data including patient demographics, mechanism of injury and associated injuries was collected., Results: A total of 169 patients were admitted for PAFs over the eight-year period. The majority (79.3%) were male. The mean age was 41 (range 13-79) years. Most patients (51.5%) were Chinese. The most common mechanisms of injury were road traffic accidents (53.8%), falls (33.1%) and crush injuries (13.0%). 46.2% sustained acetabular fractures, while 44.4% sustained pelvic fractures. PAFs were most commonly associated with upper and lower limb injuries, followed by spinal and thoracic injuries. Average of length of stay in hospital was 24 (range 2-375) days., Conclusion: PAF predominantly affects young working males. Compared to previously published local data, there has been a significant reduction in the incidence of PAFs, likely due to improved road and work safety. The demographics of PAFs have changed, with fewer injuries in females (20.7% vs. 33.3%), a reduction in the proportion of injuries in the Chinese (51.5% vs. 70.1%). While road traffic accidents remain the most common cause, crush injuries are now more prevalent (13.0%)., Competing Interests: None
- Published
- 2022
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