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Patient-reported Outcome in Surgically Treated Pelvic Ring Injuries at 5 Years Post-surgery
B Hernefalk1, N Eriksson2, S Larsson1
1Department of Surgical Sciences, Section of Orthopaedics, Uppsala University Hospital, Uppsala, Sweden.
Summary
Surgically treated pelvic ring injuries lead to long-term negative patient-reported outcomes. At 5 years post-surgery, males generally report better outcomes than females, particularly in physical function and pain.
Area of Science:
- Orthopedic surgery
- Traumatology
- Patient-reported outcomes
Background:
- Long-term patient-reported outcome data following surgical treatment of pelvic ring injuries are limited.
- Understanding long-term functional recovery and patient satisfaction is crucial for treatment evaluation.
Purpose of the Study:
- To prospectively evaluate patient-reported outcomes 5 years after surgical treatment of pelvic ring injuries.
- To compare outcomes between males and females and identify factors influencing recovery.
Main Methods:
- Prospective cohort study of 108 patients surgically treated for pelvic ring injuries.
- Utilized Short-Form 36 (SF-36) and pelvic discomfort index for outcome assessment at 1, 2, and 5 years.
- Mixed-effects linear models were used for data analysis.
Main Results:
- No SF-36 domain reached normative values at 5 years post-surgery, indicating persistent deficits.
- Males showed recovery in physical function, mental health, and pain from year 2 to 5, while females reported increased pain.
- Females reported worse general health and higher pelvic discomfort than males at 5 years; age, fracture type, and associated injuries had limited impact.
Conclusions:
- Surgical treatment for pelvic ring injuries results in enduring negative patient-reported outcomes.
- Significant sex-based disparities exist, with males reporting better outcomes than females at 5 years post-surgery.
