Observations on Pelvic Fractures and Lower Urinary Tract Injuries.
- Author:
Tong Choon PARK
1
Author Information
1. Department of Urology, Kyungpook National University, school of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
pelvic fracture;
urinary tract injury
- MeSH:
Accidents, Traffic;
Acetabulum;
Gyeongsangbuk-do;
Humans;
Mortality;
Rupture;
Urinary Tract*
- From:Korean Journal of Urology
1974;15(3):137-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Clinical observations were made on l23 patients with pelvic fractures and 78 patients with 1ower urinary tract injury in the Kyungpook National University Hospital during the period of 6 years from Jan., 1968 to Dec., 1973. The results were as follows: 1) The most common cause of pelvic fractures was traffic accident (78.9%), and the age group ranging from 20 to 39 years of age was 50.4% of patients with pelvic fracture. 2) Of l39 pelvic fractures in 123 patients, unilateral pubic rami fractures were most common (31.7%), and followed by bilateral pubic rami fractures (25.9%), Malgaigne fractures (22.3%). acetabular fractures (8.6%), and separation of the symphysis pubis (5.8%) in order of frequency. 3) 38 cases (30.9%) of the pelvic fractures were associated with lower urinary tract injuries. From the view of fracture pattern, 47.2% of bilateral pubic rami fractures, 38. 7% of Malgaigne fractures, 25.0% of separation of the symphysis pubis and 13.6% of unilateral pubic rami fractures were associated with lowed urinary tact injuries. 4) The most common cause of lower urinary tact injuries associated with pelvic fracture was traffic accident (81.6%), and that of those not _associated with pelvic fracture was fall-down including the straddle injury (62.5%). 5) The other associated injuries were more common in cases with pelvic fracture (39.5%) than in those without pelvic fracture (22.5%). 6) Complications of urethroplasty were also more frequently observed in urethral ruptures with pelvic fracture (42.3%) than in those without pelvic fracture (23.5%). 7) Mortality rate of the lower urinary tract injuries was 3.8%, and all the deads were observed in cases associated with pelvic fracture.
