Long-Term Functional Outcome After Unstable Pelvic Ring Fracture

Abstract

The long-term functional outcome after unstable pelvic ring fracture was not associated with Injury Severity Score, fracture location or fracture type. We discovered a close correlation between neurologic injury and functional outcome.

What Are Predictors for Patients’ Quality of Life After Pelvic Ring Fractures?

“…Our data showed patients with complex pelvic fractures and patients treated operatively had a higher likelihood for a reduced quality of life. A literature search revealed two previous studies analyzing health-related quality of life in (Table 2) [2,24]. In a study population of 20 patients with unstable pelvic fractures treated by closed reduction and percutaneous fixation, Ayvaz et al [2] found an SF-36 score at 2 to 4 years postfracture comparable to that of population norms.…”

“…For elderly patients with pelvic ring fractures, several studies have reported substantial mortality, low short-term mobility, and frequent need for community support and institutionalization after discharge from hospital [10,16,17]. To our knowledge, only two studies on small populations of 20 and 57 patients have evaluated health-related quality of life after pelvic ring injuries, with conflicting results [2,24]. The impact of age on quality of life after pelvic ring fractures is unclear.…”

“…Most studies evaluating the long-term outcome of pelvic injuries have reported worse functional and subjective outcomes after pelvic ring fractures, when compared to population norms (Table 2) [5,6,12,18,20,24]. Predictors of outcomes include severity of injury, fracture type, incidence of nerve injuries, and method of treatment.…”

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

“…Previous studies focused on unstable pelvic fractures but did not distinguish between Tile B and C fractures [14,17,29,46]. A systematic review of the literature demonstrated better reduction quality, less pain, and improved undisturbed walking capacity for posterior pelvic ring fixation compared with nonoperative intervention [38].…”

“…Many factors have been associated with worse functional outcome, including open fracture, sacroiliac joint disruption [8], urologic injury [16], neurologic injury [46], open reduction and internal fixation, residual posterior displacement [8,14,29], and psychological problems. Previous studies focused on unstable pelvic fractures but did not distinguish between Tile B and C fractures [14,17,29,46].…”