Open pelvic fractures. A multicenter retrospective analysis

Orthop Clin North Am. 1997 Jul;28(3):345-50. doi: 10.1016/s0030-5898(05)70293-5.


A marked discrepancy exists in the reported mortality rates in patients with open pelvic fractures, ranging from 4.8% to 50%. A retrospective review of patients with open pelvic fractures was performed at three centers. Thirty-nine patients with open pelvic fractures were identified; the average age was 32. The average injury-severity score was 29 (13-75). There were 10 (26%) deaths. Factors that correlated with mortality and morbidity were instability of the pelvic fracture and the presence of a rectal injury. Delay in performing diverting colostomy correlated with a poor outcome. Previously described methods of treatment are still valid; however, there is a need for re-emphasis of early diverting colostomy in the patient with a rectal or perineal injury. A classification system for open pelvic fractures is proposed in this article.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Colostomy
  • Female
  • Fractures, Open* / classification
  • Fractures, Open* / complications
  • Fractures, Open* / mortality
  • Fractures, Open* / surgery
  • Hemorrhage / etiology
  • Humans
  • Injury Severity Score
  • Male
  • Pelvic Bones / injuries*
  • Retrospective Studies