Open pelvic fractures – results of a multi-institutional study

Open pelvic fractures are devastating injuries, rare, and with high mortality. Leading causes of mortality are: haemorrhage, infection associated injuries. The aim this paper is to point out methods treating these injuries great number prognostic factors. Material - in period from January 2011 December 2015, 221 patients pelvis ringfracture were treated three large clinical centers Serbia, which 13(5%) had an open fracture type. We have classified ring according the Young Burgess classification. Gustilo at I, II, III degree, location wound Faringer classification was distributed zone II III. Urogenital intra-abdominal monitored, severity determined Severity Score Injury (ISS) Trauma (TS). Results there 6(46%) women 7(54%) men average age 41(13 76). Injuries traffic trauma dominant. most common cause anterior posterior compression 6(46%), lateral 4(31%) vertical force 3 (23%) patients. Dominant type I Gustilo, There 6 (46%) urogenital same 3(23%) been colon resection diversion. Due abundant hemorrhage hypovolemic shock 2 died, another one died after days due sepsis multisystem organ failure (MSOF). Conclusion rate, to: infection, abdominal genitourinary tract ISS> 25, TS <8 patient >65 years.