Associated aortic rupture-pelvic fracture: An alert for orthopedic and general surgeons

M. Gage Ochsner, Andrew P. Hoffman, Doreen Dipasquale, Frederic J. Cole, Grace Rozycki, Daniel W Webster, Howard R. Champion

Research output: Contribution to journalArticle

Abstract

Blunt trauma patients with pelvic fractures have been shown to have a two-fold to five-fold increased risk of aortic rupture compared with the overall blunt trauma population. A retrospective review was performed to determine whether the relationship between aortic rupture and pelvic fracture could be further delineated using a pelvic fracture classification based on mechanism of injury. Of 4157 consecutive blunt trauma patients, 371 (8.9%) had pelvic fractures, 34 (0.8%) had ruptured thoracic aortas and 12 had both injuries. When pelvic fractures were classified according to vector of force, 10 of 12 (83%) aortic ruptures occurred in patients with an anterior-posterior compression fracture pattern, an incidence of aortic rupture eight times greater than that of the overall blunt trauma population. There was no increased incidence of aortic rupture among patients with any other pelvic fracture pattern. We conclude that the previously reported association between aortic rupture and pelvic fracture can be further specified to include, predominantly, those patients with an anterior-posterior compression fracture pattern.

Original languageEnglish (US)
Pages (from-to)429-434
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume33
Issue number3
StatePublished - 1992
Externally publishedYes

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Aortic Rupture
Wounds and Injuries
Compression Fractures
Incidence
Thoracic Aorta
Population
Orthopedic Surgeons

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Associated aortic rupture-pelvic fracture : An alert for orthopedic and general surgeons. / Ochsner, M. Gage; Hoffman, Andrew P.; Dipasquale, Doreen; Cole, Frederic J.; Rozycki, Grace; Webster, Daniel W; Champion, Howard R.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 33, No. 3, 1992, p. 429-434.

Research output: Contribution to journalArticle

Ochsner, M. Gage ; Hoffman, Andrew P. ; Dipasquale, Doreen ; Cole, Frederic J. ; Rozycki, Grace ; Webster, Daniel W ; Champion, Howard R. / Associated aortic rupture-pelvic fracture : An alert for orthopedic and general surgeons. In: Journal of Trauma - Injury, Infection and Critical Care. 1992 ; Vol. 33, No. 3. pp. 429-434.
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