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Three-year functional outcome after open pelvic fracture treatment: a retrospective case series from a level I trauma center.
- Source :
- European Journal of Orthopaedic Surgery & Traumatology; May2023, Vol. 33 Issue 4, p937-945, 9p
- Publication Year :
- 2023
-
Abstract
- Purpose: Open pelvic fractures have high mortality rates, and survivors may have ongoing functional deficits from severe trauma and invasive life-saving procedures. However, there are limited reports regarding the functional status evaluation following open pelvic fractures. We aimed to report the treatment experiences and short-term functional outcomes of patients with open pelvic fractures. Methods: We retrospectively reviewed the data of 19 consecutive patients with pelvic fractures who underwent treatment at a single institute between January 2014 and June 2018. The resuscitation protocol, osteosynthesis strategy, reduction quality of the pelvic ring, and functional outcomes were analyzed. Results: The incidence and mortality rates in patients with open pelvic fractures were 4.9 and 21.6%, respectively. Ten, one, and seven of the open wounds related to the pelvic fractures were located in Faringer zones I, II, and III, respectively. Fractures of four patients were categorized as classes 1 and 2, and those of 11 patients as class 3, according to the Jones–Powell classification. Eleven of 19 (57.9%) and 9 of 19 (47.5%) revealed excellent reduction quality by Matta/Torenetta and Lefaivre criteria, respectively. The Merle d'Aubigné score improved at each evaluation but stagnated after 24 months. The Majeed hip score also improved at the 12-month evaluation but the improvement stopped thereafter. At a 3-year follow-up, the patients with excellent reduction of the pelvic ring showed the highest functional performances. Conclusion: Improvements in functional status of patients with open pelvic fractures can be anticipated based on the reduction quality of the pelvis ring. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 16338065
- Volume :
- 33
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- European Journal of Orthopaedic Surgery & Traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 163295621
- Full Text :
- https://doi.org/10.1007/s00590-022-03234-x