Outcome analysis of pelvic ring fractures

Abstract

Background:The behavior of pelvic ring fractures in the long run has been very sparsely studied. The purpose of this study is to assess the long-term outcome of pelvic ring fractures.Materials and Methods:A total of 24 patients with pelvic ring fractures, not involving the acetabulum, were followed up for an average duration of 33 months (range 24–49 months). The clinicoradiological assessment was done using the pelvic scoring system adapted from Cole et al. Parameters assessed included sacroiliac (SI) joint involvement and, among SI joint injuries, the presence of a fracture disruption and the degree of displacement.Results:Pain and limp were present in 13 patients (54.2%) each and residual working disability in 9 patients (37.5%). The overall Cole's pelvic score was 31.3 ± 7.02 of a total score of 40. The average pelvic score in patients with SI disruption was 29.2 ± 6.75; much lower than patients without SI disruption with an average score of 34.9 ± 6.25 reaching statistical significance. The pelvic score among patients with a displacement ≤10 mm was 33.0 ± 3.92 and with a displacement >10 mm 25.88 ± 7.14. The difference was statistically significant.Conclusions:Pelvic ring injuries can lead to long term problems significantly. The involvement of the SI joint affects the long-term outcome adversely, more so if the residual displacement is >10 mm. The pelvic scoring system is comprehensive and depicts subtle differences in the outcome, which the individual parameters of the assessment fail to show.

Recovery and Return to Work After a Pelvic Fracture

“…In our study, more than one-third were motorcyclists and most received high-energy forces. Although most studies consider the unstable and partial unstable PRF, in our study all types of PRFs have been examined as high-energy trauma, showing that RTW and job loss frequencies were similar to those reported in contemporary literature [21], [22], [23], [24], [26]. Regarding the patients who have sustained a type C PRF in our study, only 33.3% have returned to their previous job in a mean follow-up of 7 years, whereas other studies show a higher percentage [17], [20].…”

Vertical pelvic ring displacement in pelvic ring injury

“…Vertical displacement of pelvic ring injury is a serious condition. 1 2 The injury occurs as dislocation or fracture dislocation of sacroiliac joint and pubic symphysis. 3 4 The injury creates unstable pelvic ring.…”

“…3 4 The injury creates unstable pelvic ring. 1 2 3 4 6 7 Pelvic radiographs provide information about pelvic displacement in term of widening pelvic symphysis and vertical displacement of pelvic ring injury. Anteroposterior pelvic view is a familiar radiograph.…”

“…Vertical pelvic bone displacement creates unstable pelvic ring injury that is a serious trauma and life-threatening. 1 2 3 Pelvic radiographs include anteroposterior, inlet and outlet views are routinely taken in order to measure pelvic displacement for considering proper management. 3 4 Hence, measurement of vertical displacement of the pelvic ring injury from pelvic radiographs were studied.…”

Do asymptomatic patients have normal function after percutaneous fixation of the posterior pelvic ring? A case-control pilot study

“…Following treatment of these pelvic injuries, residual deformity or associated injuries are felt to adversely affect functional recovery [ 3 - 9 ]. Type C injuries to the posterior aspect of the pelvic ring with sacroiliac joint dislocation or fracture/dislocation and displaced sacral fracture are associated with higher morbidity and mortality [ 6 , 10 , 11 ]. Conventional wisdom is that in general these patients do not do well.…”