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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 involvement of the SI joint affects the long-term outcome adversely, more so if the residual displacement is >10 mm.

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 involvement of the SI joint affects the long-term outcome adversely, more so if the residual displacement is >10 mm.

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