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REVIEW OF THE TREATMENT OPTIONS AND RESULTS OF EARTHQUAKE-RELATED PELVIC INJURIES AFTER THE TRKIYE EARTHQUAKE ON 6TH FEBRUARY
ZHAN PAZARCI, MEHMET AL TALMA, BEDRHAN SARI, SAM SKC
Acta Orthopaedica et Traumatologica Turcica - 2024;58(4):229-234
Department of Orthopedic and Traumatology, University of Health Sciences School of Medicine, Adana City Training and Research Hospital, Adana, Trkiye

Objective: The aim of this study was to review the characteristics and classifications of pelvic injuries due to earthquake trauma, to determine the treatment options and outcomes, and to present the experiences of our single trauma center. Methods: Sixty patients (23 male, 37 female) who underwent surgical treatment for pelvic ring injuries after the earthquake were ana- lyzed in this study. Demographic data, such as age and gender, operations, and fracture details were recorded. Laboratory results and the amount of blood used were included in the analysis. Fractures were classified according to the YoungBurgess classification. Surgical treatment methods, side of injury, accompanying injuries, and treatment results were analyzed using SPSS software. Results: Left-sided trauma was the most common mechanism of injury, with 36 patients (60%) sustaining left-sided pelvic fractures. Pelvic ring fractures were detected in 78.3% of patients, and combined acetabulum and pelvic ring fractures were identified in 21.7% of patients. Thoracic trauma and extra-pelvic fractures were seen in 12 (20%) and 18 (30%) patients, respectively. Twenty percent of patients underwent emergency abdominal surgery prior to pelvic surgery. Complications were observed in 7 patients (11.6%) in the early period. The average amount of blood used for patients was 2.91 U (min: 0, max: 13 U, SD: 2.66). Conclusion: This study has shown us that lateral compression injuries are more common, and that low hemoglobin levels, high inflam- mation parameters, previous abdominal surgery, accompanying fractures, and lung injury are the main characteristics of patients with earthquake-related pelvic injuries. It also demonstrates that for the optimal use of materials and implants, experience in different tech- niques is required, and shows the significant need for blood transfusions in the treatment of these injuries. Level of Evidence: Level IV, Therapeutic study.

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