THE CLASSIFICATION OF PELVIC BONE FRACTURE CORRELATED
WITH HEMORRHAGE

Hwang, Tae Sik; Sohn, Dae Kon; Kim, In Byong; Jang, Seok Joon

J Korean Soc Emerg Med > Volume 7(1); 1996 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 1996;7(1): 20-25.

THE CLASSIFICATION OF PELVIC BONE FRACTURE CORRELATED WITH HEMORRHAGE

Tae Sik Hwang, Dae Kon Sohn, In Byong Kim, Seok Joon Jang

Department of Emergency Medicine, Yonsei University College of Medicine

Published online: March 31, 1996.

ABSTRACT

The causes of death of pelvic bone fracture are hemorrhage, associated internal organ injuries, sepsis, and multi-organ failure, among which hemorrhage still remains as the leading cause of death. While previous classification for pelvic bone fracture was focused on orthopedic treatment, Pennel & Sutherland suggested a new classification according to the pelvis AP film took in the emergency room. Since this classification supposedly evaluates hemorrhage from pelvic bone fracture, we are reporting on the efficiency of this classification. Out of all the 150 patients admitted to Yong Dong Severance Hospital Emergency Room from 1992, Jan. through 1994, Dec. due to pelvic bone fracture, 18 people with incomplete medical record and X-ray film excluded from the study. The study was done Cohort method and t-test was used. According to the new classification, the unstable fracture had a much more bleeding amount regardless of the type, and type I stable fracture bled more than all the other stable fracture. These were statistically meaningful. Also, there was no differences in the type of fracture when ISS(Injury Severity Scale), GCS(Glasgow Coma Scale), and associated injury were compared. In conclusion, previous classification was done according to orthopedic treatment and this classification could be done only after pelvis X-ray series and pelvic bone CT was performed. Therefore much more time is consumed, more stress is put upon the patient and no comparisons can be made in performing emergency care. On the other hand, modified Pennel & Sutherl' s classification can be simply classified in the emergency room by taking pelvis AP film only and the bleeding amount can be measured according to the type. Therefore, this classification can be helpful in performing emergency care.

Key words: Pelvic bone fracture, Hemorrhage