Open fractures of the pelvis. Review of 43 cases

J Bone Joint Surg Br. 1991 Mar;73(2):325-9. doi: 10.1302/0301-620X.73B2.2005166.


We reviewed 43 patients treated from 1984 to 1988 for open fractures of the pelvis. There were four Gustilo type I wounds, seven type II and 32 type III; 22 fractures were stable and 21 unstable. The overall mortality was 30%; the average Injury Severity Score was 30, being 26 in the survivors and 40 in the fetal cases. We analysed the influence of a number of factors on the mortality rate. The most important were the ISS and the age in years, while the presence of a type III wound and instability of the fracture also had an influence. We describe two simple methods of assessment of the prognosis in individual cases, based on these factors.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Child
  • Female
  • Fractures, Open* / classification
  • Fractures, Open* / pathology
  • Fractures, Open* / surgery
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Pelvic Bones / injuries*
  • Prognosis