Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study

Introduction: Pelvis and acetabular fractures are complex, high-energy trauma and are often associated with life threatening injuries. The majority of them require surgical intervention and extensive rehabilitation. The epidemic figures are necessary to make plan for their management and its compli...

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Main Authors: Ranjib Jha, Santosh Thapa, Asish Rajthala
Format: Article
Language:English
Published: Nepal Medical Association 2025-01-01
Series:Journal of Nepal Medical Association
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Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8882
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author Ranjib Jha
Santosh Thapa
Asish Rajthala
author_facet Ranjib Jha
Santosh Thapa
Asish Rajthala
author_sort Ranjib Jha
collection DOAJ
description Introduction: Pelvis and acetabular fractures are complex, high-energy trauma and are often associated with life threatening injuries. The majority of them require surgical intervention and extensive rehabilitation. The epidemic figures are necessary to make plan for their management and its complications. We aim to analyze epidemiological profile of patients presented with pelvis and acetabular fracture in our center. Methods: This was observational cross-section study, analyzed on patients admitted with pelvis and acetabular fracture at a tertiary care center through emergency and outpatient department between January to December 2023. The collected parameters were age, gender, mechanism of injury, site of injury, classification of fracture, associated other injuries, management operative or non-operative, early post-operative complications, duration of hospital stay, mortality and Intensive Care Unit admission and they were analyzed. Ethical approval was obtained from Institutinal Review Committee (Reference number: 19/2024) Results: There were 48 (7.27%) pelvis and/or acetabular fracture amongst 660 patient with traumatic fractures. Pelvic fracture was 29 (4.39%) and acetabular fracture was 16 (2.42%). The median age was 38 years (IQR: 25.25-46.75) and 36 (75%) were male. Thirty three (69%) patients required surgery, 17 (35%) patients had additional surgery for associated injury and 14 (29%) required intensive care unit admission. The median hospital stay was 12.5 days and mortality rate were 2%. Conclusions: The proportion of pelvis fracture was comparable to other studies while the proportion of actebular was comparatively higher in this study.
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spelling doaj-art-3ee331c0076e4973b1a6e0807986e6212025-02-04T09:26:19ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-01-016328210.31729/jnma.8882Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational StudyRanjib Jha0Santosh Thapa1Asish Rajthala2Department of Orthopedics, Nobel Medical College, Biratnagar, Morang, NepalDepartment of Orthopedics, Nobel Medical College, Biratnagar, Morang, NepalDepartment of Orthopedics, Nobel Medical College, Biratnagar, Morang, Nepal Introduction: Pelvis and acetabular fractures are complex, high-energy trauma and are often associated with life threatening injuries. The majority of them require surgical intervention and extensive rehabilitation. The epidemic figures are necessary to make plan for their management and its complications. We aim to analyze epidemiological profile of patients presented with pelvis and acetabular fracture in our center. Methods: This was observational cross-section study, analyzed on patients admitted with pelvis and acetabular fracture at a tertiary care center through emergency and outpatient department between January to December 2023. The collected parameters were age, gender, mechanism of injury, site of injury, classification of fracture, associated other injuries, management operative or non-operative, early post-operative complications, duration of hospital stay, mortality and Intensive Care Unit admission and they were analyzed. Ethical approval was obtained from Institutinal Review Committee (Reference number: 19/2024) Results: There were 48 (7.27%) pelvis and/or acetabular fracture amongst 660 patient with traumatic fractures. Pelvic fracture was 29 (4.39%) and acetabular fracture was 16 (2.42%). The median age was 38 years (IQR: 25.25-46.75) and 36 (75%) were male. Thirty three (69%) patients required surgery, 17 (35%) patients had additional surgery for associated injury and 14 (29%) required intensive care unit admission. The median hospital stay was 12.5 days and mortality rate were 2%. Conclusions: The proportion of pelvis fracture was comparable to other studies while the proportion of actebular was comparatively higher in this study. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8882acetabulumepidemiologyfracturepelvis
spellingShingle Ranjib Jha
Santosh Thapa
Asish Rajthala
Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
Journal of Nepal Medical Association
acetabulum
epidemiology
fracture
pelvis
title Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
title_full Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
title_fullStr Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
title_full_unstemmed Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
title_short Clinico-demographical Profile of Pelvis and Acetabular Fracture Presenting in Tertiary Care Center of Nepal: An Observational Study
title_sort clinico demographical profile of pelvis and acetabular fracture presenting in tertiary care center of nepal an observational study
topic acetabulum
epidemiology
fracture
pelvis
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/8882
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AT santoshthapa clinicodemographicalprofileofpelvisandacetabularfracturepresentingintertiarycarecenterofnepalanobservationalstudy
AT asishrajthala clinicodemographicalprofileofpelvisandacetabularfracturepresentingintertiarycarecenterofnepalanobservationalstudy