Where and what arteries are most likely injured with pelvic fractures? The influence of localization, shape, and fracture dislocation on the arterial injury during pelvic fractures

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F19%3AN0000042" target="_blank" >RIV/00064173:_____/19:N0000042 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11120/19:43917769 RIV/00216208:11130/19:10392826 RIV/71226401:_____/19:N0100269

Výsledek na webu

<a href="https://doi.org/10.1002/ca.23372" target="_blank" >https://doi.org/10.1002/ca.23372</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/ca.23372" target="_blank" >10.1002/ca.23372</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Where and what arteries are most likely injured with pelvic fractures? The influence of localization, shape, and fracture dislocation on the arterial injury during pelvic fractures

Popis výsledku v původním jazyce

INTRODUCTION: Blood vessels passing through pelvic region come into intimate contact with pelvic bone and can be injured by the sharp edges of the dislocated fracture fragments. The aim of the study was to evaluate the influence of localization, shape and dislocation of individual pelvic ring bones' fractures on arterial injuries. MATERIALS AND METHODS: The study group consisted of 474 patients enrolled in a one-year prospective multicenter study. The pattern of pelvic fracture lines were characterized and recorded on a planar diagram of the subjected side of the pelvis. The diagram was subdivided into 11 designated areas. Frequency of injury at each 11 areas was recorded. The course of individual arteries in the 11 areas were also recorded in relation to each type of pelvic fractures. RESULTS: Out of the 474 investigated patients, the highest proportion of fractures occurred in the areas of the superior (62%) and inferior (59%) ramus of the pubis as well as in the lateral part of the sacrum (19%). These locations can be associated with injuries of the external iliac, obturator, internal iliac and aberrant obturator arteries. CONCLUSION: The highest risk of arterial injuries was associated with vertically displaced fractures in the middle part of the superior and inferior pubic rami, along the ischial ramus, in the apex of the greater sciatic notch and in the vicinity of the ventral part of the sacroiliac joint, where the artery runs at a distance of less than 1 cm from the bone.

Název v anglickém jazyce

Where and what arteries are most likely injured with pelvic fractures? The influence of localization, shape, and fracture dislocation on the arterial injury during pelvic fractures

Popis výsledku anglicky

INTRODUCTION: Blood vessels passing through pelvic region come into intimate contact with pelvic bone and can be injured by the sharp edges of the dislocated fracture fragments. The aim of the study was to evaluate the influence of localization, shape and dislocation of individual pelvic ring bones' fractures on arterial injuries. MATERIALS AND METHODS: The study group consisted of 474 patients enrolled in a one-year prospective multicenter study. The pattern of pelvic fracture lines were characterized and recorded on a planar diagram of the subjected side of the pelvis. The diagram was subdivided into 11 designated areas. Frequency of injury at each 11 areas was recorded. The course of individual arteries in the 11 areas were also recorded in relation to each type of pelvic fractures. RESULTS: Out of the 474 investigated patients, the highest proportion of fractures occurred in the areas of the superior (62%) and inferior (59%) ramus of the pubis as well as in the lateral part of the sacrum (19%). These locations can be associated with injuries of the external iliac, obturator, internal iliac and aberrant obturator arteries. CONCLUSION: The highest risk of arterial injuries was associated with vertically displaced fractures in the middle part of the superior and inferior pubic rami, along the ischial ramus, in the apex of the greater sciatic notch and in the vicinity of the ventral part of the sacroiliac joint, where the artery runs at a distance of less than 1 cm from the bone.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Clinical Anatomy

ISSN

0897-3806

e-ISSN

1098-2353

Svazek periodika

32

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

682-688

Kód UT WoS článku

000469935300012

EID výsledku v databázi Scopus

2-s2.0-85063810873