Pelvic Fracture
Conditions
Brief summary
Pelvic ring fractures are common and often the result of high energy trauma but also sometimes of lower energy trauma in older patients. A good classification and description of the fracture is essential to the choice of treatment. The classifications used to describe these fractures are numerous (Tile modified AO, Young and Burgess, Letournel, Rommens) and of a descriptive order more or less depending on the lesion mechanism allowing some to orient the surgical reduction technique. However, none of them helps with the choice of surgical or functional treatment, which is currently based on obvious notions of instability and / or displacement of lesions and, by habit, all different services. In addition, the complexity of these classifications leads to poor reproducibility of these. A new method for analyzing unitary lesions has been developed in the Orthopedic Surgery department of the Paris Saint-Joseph Hospital Group with a rating system which determines the indication according to the score. Teaching this new method of analyzing pelvic ring fractures would simplify decision making between surgical and functional treatment.
Interventions
None listed
Sponsors
Fondation Hôpital Saint-Joseph
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient aged\> 18 years * Patient treated or followed within the Orthopedic Surgery service of the GHPSJ for a pelvic ring fracture * complete initial imaging patient record (scanner) * French speaking patient
Exclusion criteria
* Patients under guardianship or curatorship * Patients deprived of their liberty * Patients objecting to the use of their data for this research * Patient with isolated sacral or acetabular fracture * Absence of scanner during the initial assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State of play of the decision for surgical sanction of pelvic ring fractures | Day 1 | This corresponds to the number of patients for whom surgical decisions have been made. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of the teaching of the new method of analysis on the surgical decision within each group | Day 1 | This corresponds to the number of files for which surgical decision-making was modified before and after teaching of the new method of analysis. |
| Reproducibility of this intra and inter-group decision before and after teaching | Day 1 | This corresponds to the number of files for which surgical decision-making was modified before and after teaching of the new method of analysis in intra and inter-group. |
Countries
France
Outcome results
None listed