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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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History:
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Outcome in Pelvic Ring Fractures.

Martin H Hessmann1,2, Marcus Rickert3, Alexander Hofmann4

  • 1Department of Orthopedic and Trauma Surgery, Academic Teaching Hospital Fulda, Fulda, Germany. UO@klinikum-fulda.de.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary
This summary is machine-generated.

Pelvic ring fractures in polytraumatized patients significantly increase morbidity and mortality risks. Despite surgical advances, many patients experience poor functional outcomes and reduced quality of life due to persistent pain and injuries.

Keywords:
ComplicationsFractureNeurologyPainPelvisResults

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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Rehabilitation Medicine

Background:

  • Pelvic ring fractures are critical injuries in polytraumatized patients, impacting morbidity and mortality.
  • Prognosis is strongly linked to fracture instability and associated soft tissue or neurovascular damage.
  • Current treatments achieve high anatomic reduction but often yield suboptimal clinical results.

Purpose of the Study:

  • To analyze the prognostic factors influencing outcomes in patients with pelvic ring fractures.
  • To evaluate the long-term functional status and quality of life after high-energy pelvic trauma.
  • To identify challenges in managing sequelae such as chronic pain and disability.

Main Methods:

  • Review of patient data including fracture patterns, injury severity, and treatment approaches.
  • Assessment of clinical outcomes, functional status, and health-related quality of life.
  • Analysis of the impact of associated injuries on patient prognosis.

Main Results:

  • Pelvic ring fractures are associated with negative prognostic outcomes in polytraumatized individuals.
  • Only 60% of patients achieve excellent or good clinical results despite anatomic reduction and stable fixation.
  • Neurologic and genitourinary injuries frequently lead to persistent functional impairment and chronic pain.
  • Health-related quality of life is substantially lower in patients compared to the general population.

Conclusions:

  • Pelvic ring fractures pose significant challenges in polytrauma management, affecting long-term patient outcomes.
  • Associated injuries and persistent sequelae contribute to considerable functional deficits and reduced quality of life.
  • Effective management strategies are needed to address chronic pain and disability for improved patient prognosis.