Relationship between the young-burgess classification system of pelvic fractures and mortality and morbidity

This study aimed to investigate the relationship between the Young-Burgess classification [YBC] system and mortality and morbidity. A total of 50 cases of pelvic fracture in patients who were admitted to our emergency department between January 01, 2011, and February 26, 2012, were scanned. The fractures were classified according to the YBC system based on plain graphs and tomography results for a more objective classification. The total mortality rate was 10%. No relationship was found between the YBC groups and mortality. The relationship between the YBC types and erythrocyte transfusion requirement was statistically significant. The fracture types were classified into two groups: stable [lateral compression type 1 [LC-1] and anterior-posterior compression [APC] type 1] and unstable [LC-2-, LC-3, APC-2, APC-3, vertical shear, and combined mechanism of injury]. The erythrocyte transfusion requirements were found to be significantly higher in the unstable group. Similarly, LC-2 showed higher erythrocyte transfusion requirements compared with LC-1. No relationship was observed between the groups and head- chest-abdomen-spine injuries. The mortality was higher in the unstable group than in the stable group, although the difference was not statistically significant. The YBC system is useful to understand the pelvic fracture type, despite no relationship between the different types of fracture and mortality and morbidity. The present results indicated the need for a new system for the classification of pelvic fractures

Functional evaluation of partial hip arthroplasty in patients with hip fractures

The goal of this study was to evaluate the functional results of partial hip arthroplasty in hip fractures. The mortality, morbidity, and functional statuses were investigated. Patients operated with partial hip arthroplasty for the hip fractures between January 3, 2001, and January 30, 2010, were evaluated retrospectively. The Oxford hip score was carried out, and the results were analyzed.A total of 82 of 130 patients who were operated with partial hip arthroplasty for hip fractures reached Fatih University Hospital [new name of Turgut Ozal University]. The mean follow-up time was 37.76 months and the mean age of the 82 patients was 78.99. Of the total number of patients, 25 were men and 57 were women. A total of 49 patients were alive and 33 were dead. The mean postoperative survival of these patients was 31.1 months. The mean total score of the Oxford hip score was 50.17. There was no effect of operation age, sex, hypertension, diabetes mellitus, renal diseases, dementia, and chronic obstructive lung disease on the Oxford hip score. Survival was not affected by the result of the Oxford hip score. The total Oxford hip score was less in patients who had heart disease, but it was not significant statistically. Embolus affected the hip score negatively. Partial hip arthroplasty takes a big place in the treatment of hip fractures, and it is a successful treatment choice in functional evaluation. New investigations are needed to compare the functional results of partial hip arthroplasty with other treatments