Medium-Term Patient-Reported Quality of Life and Activities of Daily Living in Surgically Treated Trauma Patients With Pelvic, Acetabular or Combined Pelvic and Acetabular Fractures in a Retrospective Single-Center Study

Abstract

Objective: To gain more insights in the medium-term patient-reported quality of life (QoL), activities of daily living (ADL), and number of complications in trauma patients with an acetabular fracture (AF), a pelvic fracture (PF), and those with a surgically combined pelvic and AF (PAF). Design: Retrospective single-center study. Setting: Level I academic trauma center. Patients/Participants: 51 trauma patients with PF, AF, or PAF who were surgically treated between 2014 and 2017. Intervention: Open reduction and internal fixation. Main Outcome Measurements: Primary outcome measures are patient-reported outcome questionnaire, which includes 2 items, the QoL, as measured with the Short Form-12, and the ADL, as measured with the Lower Extremity Functional Scale. The secondary outcome parameter was the occurrence of complications during a follow-up of at least 2 years. Results: The mean physical component score (PCS) of the QoL (P = 0.03) and the ADL (P = 0.03) were significantly higher in patients with AF compared with patients with PF. The incidence of the overall postoperative complications did not significantly differ between the PF, AF, and PAF groups (P = 0.28). Conclusions: This study found that the PCS of the QoL and the ADL in surgically treated trauma patients with PF were significantly lower compared with patients with AF. No significant differences were found in overall complication rate between the PF, AF, and PAF groups. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

Effect of Percutaneous Posterior Pelvic Ring Reduction and Fixation on Patient-Reported Outcomes

“…1,[5][6][7][8] Subsequent studies assessing patient outcomes have had mixed results, making reliable predictors of outcomes controversial. 1,5,6,[9][10][11][12][13] The Patient-Reported Outcomes Measurements Information System (PROMIS) was developed in 2004 by the National Institutes of Health and has been used across several disciplines of orthopaedic surgery, including hip and knee arthroplasty, 14 shoulder arthroplasty, 15 foot and ankle, 16 sports, 17 spine, 18 hand, 19 and trauma. 20 However, there remains a paucity of literature in the evaluation of PROMIS scores in patients with pelvic ring injuries.…”

“…1,5–8 Subsequent studies assessing patient outcomes have had mixed results, making reliable predictors of outcomes controversial. 1,5,6,9–13…”