Pediatric Pelvic Injuries - Epidemiology and Demography

Study Overview
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Brief Summary
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A retrospective epidemiological study of pediatric pelvic injury from level 1 trauma centre. Hypothesis: In the pediatric population, majority of pelvic injuries is of type A according to AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) classification, the treatment is mostly conservative and complications of injury and treatment are less common than in adults.

Detailed Description
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Study design: Retrospective analysis (13 years), excluding pathological fractures. AO/OTA type, epidemiological data, mode of treatment, and complications were recorded. Data were analyzed using the Fisher exact test and the Wilcoxon test.

Official Title
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Epidemiological Study of Pediatric Pelvic Injuries

Conditions
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Pelvis Injury, Child, Only

Intervention / Treatment
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* Procedure: surgical treatment according to standard indication criteria
* Procedure: conservative treatment according to standard indication criteria


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria of primary study group: Age ≤ 18 years Single pelvic bone fractures or pelvic ring injuries Inclusion Criteria of secondary study group: Age ≤ 18 years Combined pelvic and acetabular injuries Isolated fractures of the acetabulum Exclusion Criteria: Pathological fractures

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pelvic injury<br>Paediatric patients (age ≤ 18 years) with a single pelvic bone fracture or pelvic ring injury, excluding pathological fractures. | Procedure: surgical treatment according to standard indication criteria<br>* internal fixation according to standard indication criteria<br>Procedure: conservative treatment according to standard indication criteria<br>* conservative therapy according to standard indication criteria<br>|
| Pelvic and acetabular injury<br>Paediatric patients (age ≤ 18 years) with a combined pelvic and acetabular injury or an isolated acetabular fracture, excluding pathological fractures. | Procedure: surgical treatment according to standard indication criteria<br>* internal fixation according to standard indication criteria<br>Procedure: conservative treatment according to standard indication criteria<br>* conservative therapy according to standard indication criteria<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Epidemiological study of pediatric pelvic trauma | The overall incidence of pelvic ring injury per 100,000 children per year. The overall incidence of isolated acetabular fractures per 100,000 children per year. The overall incidence of combined pelvic ring and acetabular injuries per 100,000 children per year. | Follow-up of each patient for minimum 12 months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Demographical study of pediatric pelvic trauma | Comparison of the incidence of observed injuries by sex. Comparison of the incidence of observed injuries according to the severity of trauma (single trauma vs. multiple trauma). The incidence of the types of pelvic ring injury (according to AO/OTA classification) per 100,000 children per year. | Follow-up of each patient for longer then 12 months. |