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Outcome analysis of pelvic ring fractures.

Sen RK, Veerappa LA - Indian J Orthop (2010)

Bottom Line: The difference was statistically significant.Pelvic ring injuries can lead to long term problems significantly.The pelvic scoring system is comprehensive and depicts subtle differences in the outcome, which the individual parameters of the assessment fail to show.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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 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.

No MeSH data available.


Related in: MedlinePlus

Preoperative (a) and postoperative (b) radiographs showing a vertical shear type of pelvic disruption with a zone 2 fracture of the sacrum fixed with a posterior percutaneous reconstruction plate and lag screw fixation. Note that the vertical shear component of the disruption has been addressed
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Figure 0004: Preoperative (a) and postoperative (b) radiographs showing a vertical shear type of pelvic disruption with a zone 2 fracture of the sacrum fixed with a posterior percutaneous reconstruction plate and lag screw fixation. Note that the vertical shear component of the disruption has been addressed


Outcome analysis of pelvic ring fractures.

Sen RK, Veerappa LA - Indian J Orthop (2010)

Preoperative (a) and postoperative (b) radiographs showing a vertical shear type of pelvic disruption with a zone 2 fracture of the sacrum fixed with a posterior percutaneous reconstruction plate and lag screw fixation. Note that the vertical shear component of the disruption has been addressed
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822424&req=5

Figure 0004: Preoperative (a) and postoperative (b) radiographs showing a vertical shear type of pelvic disruption with a zone 2 fracture of the sacrum fixed with a posterior percutaneous reconstruction plate and lag screw fixation. Note that the vertical shear component of the disruption has been addressed
Bottom Line: The difference was statistically significant.Pelvic ring injuries can lead to long term problems significantly.The pelvic scoring system is comprehensive and depicts subtle differences in the outcome, which the individual parameters of the assessment fail to show.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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 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.

No MeSH data available.


Related in: MedlinePlus