Management and outcome of XXXX : a retrospective study of 41 cases.

@entity1 @entity174 @entity4422 @entity530 @entity2641
BACKGROUND: Open @entity174 occur uncommonly. Despite serious sequelae, they have been infrequently reviewed. METHODS: We conducted a retrospective review of all @entity1 with @entity4422 in our department from January 2001 to April 2010. RESULTS: Forty-one @entity1 (32 @entity1 , 9 @entity1 ) with these injuries were identified. The average Injury Severity Score (ISS) was 31.4, with 80% of @entity1 having a score >= 16. The average blood transfusion in the first 24h was 17.2 units, and the average hospital stay was 60 days. Overall mortality was 24% (n=10): 3 early deaths and 7 late deaths. Factors associated with overall mortality by univariate analysis were ISS, @entity2641 , GCS, age, @entity530 , Gustilo classification of soft-tissue injury, and Young classification of bony @entity174 . Factors associated with late mortality by univariate analysis were: ISS, @entity2641 , @entity530 , Gustilo classification of soft-tissue injury, and blood transfusion in the first 24 h. Moreover, multivariate analysis showed that only @entity2641 was independently associated with both overall and late mortality. CONCLUSION: Despite treatment advances, mortality rates remain high in @entity1 with @entity4422 . The urogenital and/or intra-abdominal injuries are not associated with mortality. @entity2641 <=8 might be a predictor of poor outcome in @entity4422 @entity1 . Open reduction and internal fixation might be used in those unstable @entity174 without gross contamination in the @entity174 region after extensive cleansing and lavage. More emphasis needs to be placed on this injury complex.
