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Outcome analysis of pelvic ring fractures
Ramesh K Sen1, Lokesh A Veerappa
1Department of Orthopaedic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian Journal of Orthopaedics
|February 19, 2010
Summary
Long-term outcomes of pelvic ring fractures are often poor, with pain and disability common. Sacroiliac joint involvement and displacement significantly worsen these long-term results.
Area of Science:
- Orthopedics
- Traumatology
- Rehabilitation Medicine
Background:
- Long-term outcomes of pelvic ring fractures are understudied.
- Understanding long-term sequelae is crucial for patient management.
Purpose of the Study:
- To assess the long-term outcomes of pelvic ring fractures.
- To evaluate the impact of sacroiliac joint involvement and displacement on outcomes.
Main Methods:
- Retrospective study of 24 patients with pelvic ring fractures (excluding acetabular).
- Average follow-up of 33 months.
- Clinicoradiological assessment using Cole's pelvic scoring system, evaluating sacroiliac joint involvement and displacement.
Main Results:
- 54.2% experienced pain and limp; 37.5% had residual working disability.
- Patients with sacroiliac joint disruption had significantly lower scores (29.2) than those without (34.9).
- Displacement >10 mm resulted in significantly lower scores (25.88) compared to <=10 mm (33.0).
Conclusions:
- Pelvic ring injuries can lead to significant long-term problems.
- Sacroiliac joint involvement and displacement >10 mm adversely affect long-term outcomes.
- Cole's pelvic scoring system effectively captures subtle outcome differences.
