Abstract
For 7 years since 1983, 21 male and 17 female patients were treated for pelvic fracture in Onomichi Municipal Hospital and Okujima Hospital. Causes of injury were most frequently in traffic accidents (23 cases), and secondarily in labor accidents (8 cases). The youngest patient was 2 years old while the oldest one was 84 years old. The average age of males was 37.0 years old, and that of females 42.6 yeas old. The follow up period ranged from 6 months to 24 months, with an average of 7.2 months.
According to Connolly's classification, 12 patients were classified as major fractures and 26 patients as minor fractures. Fractures of the extremities were accompanied in 17 patients, and injury of abdominal organs in 6 patients. Hematuria were found in 18 patients. In 12 cases of 38 patients, 200ml to 4800ml of blood was transfused and the average voluml of blood transfusion was 1933ml. In 26 patients with miner fractures, one case was treated operatively but only rest with care was made in 25 patients.
A good clinical result was achieved in all cases with miner fractures. In 12 patients with major fractures, one case was died by hemorrhagic shock. Eight patients were treated by traction and 3 patients were treated by rest care. Eleven patients with major fractures were good in result.
