Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2024; 15(5): 418-434
Published online May 18, 2024. doi: 10.5312/wjo.v15.i5.418
Pelvic fractures in blunt trauma patients: A comparative study
Alexander A Fokin, Joanna Wycech Knight, Madison E Tharp, Kyler C Brinton, Phoebe K Gallagher, Justin Fengyuan Xie, Russell D Weisz, Ivan Puente
Alexander A Fokin, Joanna Wycech Knight, Madison E Tharp, Kyler C Brinton, Phoebe K Gallagher, Justin Fengyuan Xie, Russell D Weisz, Ivan Puente, Trauma and Critical Care Services, Delray Medical Center, Delray Beach, FL 33484, United States
Alexander A Fokin, Ivan Puente, Charles E Schmidt College of Medicine, Department of Surgery, Florida Atlantic University, Boca Raton, FL 33431, United States
Joanna Wycech Knight, Ivan Puente, Trauma and Critical Care Services, Broward Health Medical Center, Fort Lauderdale, FL 33316, United States
Madison E Tharp, Kyler C Brinton, Phoebe K Gallagher, Justin Fengyuan Xie, Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, United States
Ivan Puente, Herbert Wertheim College of Medicine, Department of Surgery, Florida International University, Miami, FL 33199, United States
Author contributions: Fokin AA and Puente I conceptualized the research study; Fokin AA, Wycech Knight J, Weisz RD, and Puente I designed the methodology; Fokin AA and Puente I were the project administrators and supervisors; Wycech Knight J, Tharp M, Brinton K, Gallagher PK, and Xie JF performed the research; Wycech Knight J performed the software analysis; Fokin AA, Wycech Knight J, Tharp M, Brinton K, Gallagher PK, Xie JF, Weisz RD, and Puente I performed formal data analysis and validation; Fokin AA, Wycech Knight J, and Puente I wrote the original draft of the manuscript; Fokin AA, Wycech Knight J, Tharp M, Brinton K, Gallagher PK, Xie JF, Weisz RD, and Puente I performed manuscript review and editing; All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved for publication by the MetroWest Institutional Review Board.
Informed consent statement: This study was granted a waiver for informed consent by the MetroWest Institutional Review Board.
Conflict-of-interest statement: Alexander A Fokin, Joanna Wycech Knight, Madison Tharp, Kyler Brinton, Phoebe K Gallagher, Justin F Xie, Russell D Weisz and Ivan Puente declare that they have no conflict of interest. The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.
Data sharing statement: Deidentified data and study materials are available upon reasonable request from the corresponding author at alexander.fokin@tenethealth.com.
STROBE statement: The authors have read the STROBE statement – checklist of items, and the manuscript was prepared and revised according to the STROBE statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alexander A Fokin, MD, PhD, Professor, Instructor, Researcher, Trauma and Critical Care Services, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, United States. alexander.fokin@tenethealth.com
Received: December 18, 2023
Revised: April 9, 2024
Accepted: April 23, 2024
Published online: May 18, 2024
Processing time: 148 Days and 18 Hours
Core Tip

Core Tip: We analyzed 558 patients with pelvic fractures after blunt trauma admitted to an urban level 1 trauma center over a 6-year period. To ensure similar injury severity, propensity score matching methodology was implemented to compare geriatric and non-geriatric patients, and to assess the impact of abdominal co-injuries and clinical value of contract blush. It was established that half of the patients with pelvic fractures had concomitant injuries and that similarly injured geriatric patients had significantly higher mortality than non-geriatric patients. Abdominal co-injuries were diagnosed in 17% of patients. Contrast blush was present in one fifth of patients with PF but only half of them required embolization and in similarly injured subjects there was no association with longer hospitalization or higher mortality.