Caractéristiques épidémiologiques et cliniques des fractures de l’anneau pelvien au Bénin

Abstract

IntroductionPelvic ring fractures are injuries occurring most often as a result of severe trauma occurring as part of a polytrauma. The aim of this study was to study its epidemiological and characteristic in Benin. Material and methodsThis was a retrospective, cross-sectional, monocentric, descriptive study that took place over a 10-year period from 1st January 2005 to 31th December 2014. Results and discussionWe collected 69 cases of pelvic ring fractures, approximately 7 cases per year with an incidence of 1.28 % of hospitalized patients with traumatic injuries. We found a male predominance (41 men for 28 women). The average age was 37.32 years with extremes of 16 and 75 years. Merchants, civil servants, students and housewives were the most affected in 23 cases (33 %), 10 cases (15 %), 8 cases (12 %) and 8 cases (12 %) respectively. This was a road accident in 60 cases (87 %). Nineteen patients (27.54 %) had unstable hemodynamic status. A total of 09 patients had a urogenital lesion, 05 patients had a neurological lesion. The average hospital stay was 5.8 weeks with extremes of 1 and 18 weeks. According to the modified AO Tile classification, stable lesions (A) accounted for 35 %, partially stable (B) 42 % and unstable (C) 23 %. Group A2 (33 %) and B1 (26 %) lesions were the most common. ConclusionRelatively infrequent in our daily practice, the fractures of the pelvic ring hosted in our institution had characteristics that are not very different from the series of the literature. Evidence LevelIV historical seria.