The Jones-Powell classification of open pelvic fractures: A multicenter study evaluating mortality rates

Lisa K. Cannada, Ryan M. Taylor, Robert Reddix, Brian Mullis, Eric Moghadamian, Melissa Erickson

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Background: Historically, open pelvic fractures have a high mortality rate. The Jones-Powell Classification system was developed to assist with morbidity and mortality prediction. The purposes of our study were twofold: 1. Apply the Jones-Powell Classification to mortality rates of open pelvic fractures; 2. Because the original article published on the Jones-Powell Classification was from 1997, there have been advances in the early treatment of pelvic fractures to include the use of the pelvic binder, early diverting colostomies, and emergent angiography. We wanted to examine if any of those acute interventions affected mortality rate. Methods: This is a retrospective review of all patients presenting with open pelvic fractures at six Level I trauma centers between 2000 and 2006. Results: There were 64 patients with an average age of 34 years (range, 17-57 years). Fourteen had stable pelvic fracture patterns, and 50 had unstable fracture patterns. The overall mortality rate in our study was 15 patients (23%). All patients who died had an unstable pelvic fractuer and/or rectal laceration. Sixteen patients had diverting colostomies within 48 hours of injury. There were four patients with rectal lacerations and no patients with diverting colostomies who died. DISCUSSION: In our population group, there was an overall mortality rate of 23%. A Jones-Powell Class 3 injury had a 38% mortality rate. The presence of a rectal laceration may serve as a marker for the severity of the patient's injuries and increased risk of mortality.

Original languageEnglish (US)
Pages (from-to)901-906
Number of pages6
JournalJournal of Trauma and Acute Care Surgery
Volume74
Issue number3
DOIs
StatePublished - Mar 1 2013
Externally publishedYes

Keywords

  • Angiography
  • Diverting colostomy
  • Open pelvic fractures
  • Pelvic binder
  • Rectal laceration

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'The Jones-Powell classification of open pelvic fractures: A multicenter study evaluating mortality rates'. Together they form a unique fingerprint.

  • Cite this