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[Clinical and functional evaluation of pediatric patients with pelvic fracture treated in a third level Hospital]
M E Ceballos-Jaime1, O Ruiz-Mejía2
1Servicio de Urgencias. Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia «Lomas Verdes». Instituto Mexicano del Seguro Social (IMSS). Naucalpan de Juárez, Estado de México. México.
Insights
Pediatric pelvic fractures, though rare, significantly impact functional outcomes. Severe injuries (Type III) treated conservatively or surgically show high functional recovery and independence, indicating positive clinical evolution.
Area of Science:
- Orthopedic surgery
- Pediatric trauma care
- Clinical outcomes research
Context:
- Pelvic fractures in children are infrequent but severe injuries.
- These fractures can lead to significant long-term functional deficits.
- Understanding treatment outcomes is crucial for pediatric orthopedic care.
Purpose:
- To assess the clinical and functional recovery in pediatric patients with pelvic fractures.
- To correlate fracture severity and treatment methods with patient outcomes.
- To evaluate the effectiveness of current management strategies.
Summary:
- A retrospective study analyzed 24 pediatric patients (5-16 years) with pelvic fractures treated between 2016-2021.
- Outcomes were measured using the Barthel index and hip range of motion.
- Type III fractures on the Torode and Zieg scale showed a significant association with high functional independence and mobility.
Impact:
- The study highlights a statistically significant association between severe pelvic fracture classifications and positive functional outcomes.
- Findings suggest that pediatric patients with severe pelvic fractures can achieve substantial independence and mobility.
- This research informs treatment protocols and prognostic expectations for pediatric pelvic fracture management.
Introduction:
pelvic fracture in children is considered one of the most important injuries due to its high mortality. They are rare, but have a major impact on patients' functional outcomes.
Objective:
to evaluate the clinical evolution and functional grade in pediatric patients with pelvic fractures who have already been treated, either conservatively or surgically.
Material And Methods:
descriptive-cross-sectional-retrospective study. Sample of 24 patients, aged five to 16 years with pelvic fracture, treated from 2016 to 2021. Clinical and functional outcome was assessed using the Barthel index and hip range of motion, as well as surgical or conservative treatment, accompanying lesions and injury mechanism.
Results:
to find out if there is an association between the Torode and Zieg classifications with the Barthel index and hip range of motion, an association analysis was performed with the 2 statistic, obtaining a 2 value = 19.213. with p = 0.004 for the Barthel index and a 2= 14.253 with p = 0.0026 for hip ranges of motion; these results indicate that there is statistically significant association.
Conclusion:
the most frequent type of pelvic fracture in pediatric patients treated is type III on the Torode and Zieg scale, which according to the Barthel index is associated with a degree of independence and complete hip mobility arches, so the clinical and functional outcome in these patients is high in severe injuries.
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Assessment:
1. Clinical Evaluation:
History: