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Work Productivity Loss After Minimally Displaced Complete Lateral Compression Pelvis Fractures.
Natasha S McKibben1, Nathan N O'Hara1, Gerard P Slobogean1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.
Journal of Orthopaedic Trauma
|September 1, 2023
Summary
Lateral compression pelvic fractures cause significant work impairment and economic loss. Surgical fixation is linked to reduced lost work hours and economic burden compared to nonoperative management.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Health Economics
Background:
- Lateral compression pelvic ring fractures result in substantial work impairment.
- Quantifying economic losses from unemployment, absenteeism, and presenteeism is crucial.
Purpose of the Study:
- To quantify work impairment and economic losses after lateral compression pelvic ring fractures.
- To compare productivity loss between surgical fixation and nonoperative management.
Main Methods:
- Secondary analysis of a prospective, multicenter trial.
- Adult patients with OTA/AO 61-B1/B2 fractures were assessed using Work Productivity and Activity Impairment assessments.
- Outcomes were compared between surgically and nonoperatively treated groups.
Main Results:
- 63% of patients returned to work within one year.
- Average work year loss was 67%, equating to $56,276 in lost economic productivity.
- Surgical fixation showed 27% fewer lost hours and prevented $17,266 in economic losses per patient.
Conclusions:
- Lateral compression pelvic fractures impose a significant economic burden.
- Surgical fixation effectively reduces work impairment and associated economic consequences.

