title: [Influence of the pelvic trauma registry of the DGU on treatment of pelvic ring fractures].
abstract: Fractures of the pelvic ring are comparatively rare with an incidence of 2-8 % of all fractures depending on the study in question. The severity of pelvic ring fractures can be very different ranging from simple and mostly "harmless" type A fractures up to life-threatening complex type C fractures. Although it was previously postulated that high-energy trauma was necessary to induce a pelvic ring fracture, over the past decades it became more and more evident, not least from data in the pelvic trauma registry of the German Society for Trauma Surgery (DGU), that low-energy minor trauma can also cause pelvic ring fractures of osteoporotic bone and in a rapidly increasing population of geriatric patients insufficiency fractures of the pelvic ring are nowadays observed with no preceding trauma.Even in large trauma centers the number of patients with pelvic ring fractures is mostly insufficient to perform valid and sufficiently powerful monocentric studies on epidemiological, diagnostic or therapeutic issues. For this reason, in 1991 the first and still the only registry worldwide for the documentation and evaluation of pelvic ring fractures was introduced by the Working Group Pelvis (AG Becken) of the DGU. Originally, the main objectives of the documentation were epidemiological and diagnostic issues; however, in the course of time it developed into an increasingly expanding dataset with comprehensive parameters on injury patterns, operative and conservative therapy regimens and short-term and long-term outcome of patients. Originally starting with 10 institutions, in the meantime more than 30 hospitals in Germany and other European countries participate in the documentation of data. In the third phase of the registry alone, which was started in 2004, data from approximately 15,000 patients with pelvic ring and acetabular fractures were documented. In addition to the scientific impact of the pelvic trauma registry, which is reflected in the numerous national and international publications, the dramatically changing epidemiology of pelvic ring fractures, further developments in diagnostics and the changes in operative procedures over time could be demonstrated. Last but not least the now well-established diagnostic and therapeutic algorithms for pelvic ring fractures, which could be derived from the information collated in registry studies, reflect the clinical impact of the registry.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrbergerstraße 100, 66421, Homburg/Saar, Deutschland. joerg.holstein@uks.eu.
authors.forename: J H
authors.initials: JH
authors.lastname: Holstein
authors.affiliation: Abteilung für Unfall- und Wiederherstellungschirurgie, BG Klinik Tübingen, Schnarrenbergstrasse 95, 72076, Tübingen, Deutschland.
authors.forename: F M
authors.initials: FM
authors.lastname: Stuby
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrbergerstraße 100, 66421, Homburg/Saar, Deutschland.
authors.forename: S C
authors.initials: SC
authors.lastname: Herath
authors.affiliation: Klinik für Unfallchirurgie, Allgemeines Krankenhaus Celle, Siemensplatz 4, 29223, Celle, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Culemann
authors.affiliation: Institut für Evaluative Forschung in der Medizin, Universität Bern, Stauffacherstraße 78, 3014, Bern, Schweiz.
authors.forename: E
authors.initials: E
authors.lastname: Aghayev
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrbergerstraße 100, 66421, Homburg/Saar, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Pohlemann
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D019317:Evidence-Based Medicine / Q000379:methods; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000601:surgery*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000379:methods; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery*; D011159:Population Surveillance / Q000379:methods*; D015995:Prevalence; D012042:Registries / Q000145:classification / Q000706:statistics & numerical data*; D012307:Risk Factors; D014194:Traumatology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Diagnostics algorithms; Epidemiology; Pelvic fracture; Registry; Therapy algorithms