Berufliche Wiedereingliederung nach Becken- und Azetabulumfrakturen

Nusser, M.; Holstiege, Jakob; Kaluscha, Rainer; Tepohl, Lena; Stuby, Fabian; Röderer, Götz; Krischak, Gert

doi:10.1055/s-0034-1396261

Cited by 10 publications

(11 citation statements)

References 14 publications

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“…However, the specific method for quantifying impairment lacks description. Nusser et al added a minimum duration of work absence to their socioeconomic outcome reporting [86]. Several other studies specifically characterized the sustained absence from work into categories such as retired, unemployed, undergoing rehabilitation, recipient of disability payments, in school, never working, or retraining for a different job [85,115].…”

Section: Discussionmentioning

confidence: 99%

The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis

et al. 2020

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The overall objective of this study was to determine the patient-level socioeconomic impact resulting from orthopaedic trauma in the available literature. The MEDLINE, Embase, and Scopus databases were searched in December 2019. Studies were eligible for inclusion if more than 75% of the study population sustained an appendicular fracture due to an acute trauma, the mean age was 18 through 65 years, and the study included a socioeconomic outcome, defined as a measure of income, employment status, or educational status. Two independent reviewers performed data extraction and quality assessment. Pooled estimates of the socioeconomic outcome measures were calculated using random-effects models with inverse variance weighting. Two-hundred-five studies met the eligibility criteria. These studies utilized five different socioeconomic outcomes, including return to work (n = 119), absenteeism days from work (n = 104), productivity loss (n = 11), income loss (n = 11), and new unemployment (n = 10). Pooled estimates for return to work remained relatively consistent across the 6-, 12-, and 24-month timepoint estimates of 58.7%, 67.7%, and 60.9%, respectively. The pooled estimate for mean days absent from work was 102.3 days (95% CI: 94.8-109.8). Thirteen-percent had lost employment at one-year post-injury (95% CI: 4.8-30.7). Tremendous heterogeneity (I 2 >89%) was observed for all pooled socioeconomic outcomes. These results suggest that orthopaedic injury can have a substantial impact on the patient's socioeconomic well-being, which may negatively affect a person's psychological wellbeing and happiness. However, socioeconomic recovery following injury can be very nuanced, and using only a single socioeconomic outcome yields inherent bias. Informative and accurate socioeconomic outcome assessment requires a multifaceted approach and further standardization.

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Section: Discussionmentioning

confidence: 99%

The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis

et al. 2020

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“…A study by Nusser et al [37] on a group of 249 patients with acetabular fracture found that one-third of the subjects lost their ability to return to work within the period of one to two years after completing their physiotherapy. This is potentially a threat to the financial existence of these patients, as well as to their psychological well-being and social integration [37]. The authors agree on the need to provide particularly attentive care and intensive therapeutic programs to those patients who had had acetabular fractures [11,37].…”

Section: Discussionmentioning

confidence: 99%

“…This is potentially a threat to the financial existence of these patients, as well as to their psychological well-being and social integration [37]. The authors agree on the need to provide particularly attentive care and intensive therapeutic programs to those patients who had had acetabular fractures [11,37].…”

Section: Discussionmentioning

confidence: 99%

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

Dadura

Truszczyńska-Baszak

Szydłowski

2022

IJERPH

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(1) Fracture of the pelvis usually happens in young men and results from high-energy trauma. It generates high social and economic costs and results in further health problems. It is therefore important to assess long-term treatment results. (2) The study (NCT04902209) involved 31 patients (mean age 43.6 ± 14.8 years). We conducted fixation assessment on the basis of radiographs and CT scans and functional assessment based on functional scales. (3) We observed more degenerative changes in the less precise reconstruction of the acetabulum (p = 0.075). We did not find statistically significant relationships between the area of surgical approach, the gravity of fracture, and the development of degenerative changes. We did not find statistically significant relationships between patients’ functional states and the type of surgical approach or the complexity of the fracture. We found a positive correlation between the time of surgical treatment and patients’ functional state (p = 0.04). Patients whose joint surfaces were reconstructed anatomically had significantly higher scores in functional scales (HHS p = 0.05, Merle p = 0.03). (4) Patients after surgical fixation of the acetabulum have low functional abilities. The quality of reconstruction of the loaded surface as well as the length of time post-surgery seems to be essential for the patients’ functional state.

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“…22 In traumatology-and particularly in pelvic ring fractures-surgeons prefer minimally invasive techniques, as minimally invasive surgery allows the patient to return to work sooner. 23,24 Our new bridging plate technique appropriates for all types of pubic symphysis disruption (isolated or with superior ramus fractures) and unilateral or bilateral pubic superior ramus fractures, located medial to the lateral border of the pubic tubercle. When pubic symphysis is disrupted, type II fractures of the superior ramus can also be treated with this technique.…”

Section: Discussionmentioning

confidence: 99%

A New Technique for Anterior Pelvic Ring Fixation Using a Minimally Invasive Approach

Qoreishy

Alamian²,

Movahedinia

et al. 2022

Techniques in Orthopaedics

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Introduction: Percutaneous screw fixation have been introduced as a minimally invasive method in anterior pelvic ring fractures. The aim of the study is to present the outcomes of a new minimally invasive technique for fixation of anterior pelvic ring fractures medial to the pubic tubercle. Materials and Methods: Sixty-two patients were referred to our center during 5 years for the fixation of the anterior pelvic ring fracture under the new procedure. The fracture site was bridged using a 3-hole 3.5 mm reconstruction plate when 1 or 2 long retrograde screw was passed through the plate in the superior ramus. Results: A case of device failure was observed in the patient treated with the new method, which did not lead to loss of reduction and did not limit the patient’s activity. Apart from this, we did not have any abnormalities in the follow-up radiographs of the patients and no complications were reported. Conclusion: The results of this study showed the potential of our new method for fixation of various types of anterior pelvic ring injuries. Level of Evidence: Level IV.

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Berufliche Wiedereingliederung nach Becken- und Azetabulumfrakturen

Cited by 10 publications

References 14 publications

The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis

The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

A New Technique for Anterior Pelvic Ring Fixation Using a Minimally Invasive Approach

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