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De fevereiro de 2000 a setembro de 2001, 84 pacientes apresentando fratura do anel pélvico foram avaliados, segundo determinado protocolo aplicado. Houve predomínio do sexo masculino (67%), a maioria dos pacientes eram brancos (86%) e a idade média foi de 37 anos. Quanto ao tipo de acidente, os mais freqüentes foram os relacionados ao trânsito (58%) - carro, moto e atropelamento - pacientes vítimas de traumas de alta energia. As fraturas foram classificadas de acordo com Tile(13) em estáveis, em 55% (fraturas do tipo A); rotacionalmente instáveis, em 30% (fraturas do tipo B) e rotacional e verticalmente instáveis, em 15% (fraturas do tipo C). A fratura mais freqüentemente encontrada foi a dos ramos isquiopúbicos. O tratamento cirúrgico foi realizado em 29% dos pacientes. Houve necessidade de transfusão sangüínea em 20% dos pacientes, utilizando-se uma média de cinco unidades de sangue total; exceto dois pacientes (2,4%) com lesão arterial intra pélvica que necessitaram mais de 10 unidades de sangue nas primeiras 48 horas. A mortalidade foi de sete por cento tendo relação significativa com traumas extra pélvicos. From February 2000 to September 2001, 84 patients with pelvic fractures were assessed, using a determined protocol. There were more men (67%) than women. Most of the patients were white (86%) and the average was 37 years of age. The most frequent accident was reported to have been traffic accidents (58%) such as motor vehicle, motorcycle and running over - victims of high-energy injuries. The pelvic ring fractures were classified according to Tile (13) as stable in 55% (type A injury), as rotationally unstable in 30% (type B injury) and as unstable in translation in 15% (type C injury). The most frequent lesion affecting the pelvic girdle was the isquiopubic bones fracture (transpubic instability). The overall rate of operative stabilization was 29%. An average of five units of total blood transfusion was required in 20% of the patients; exception to two (2,4%) patients with intrapelvic arterial injury that required more than 10 units of blood in the first 48 hours. The overall mortality rate was 7%, depending significantly on the associated extrapelvic traumas

Fraturas do anel pélvico: estudo epidemiológico