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Long-term outcomes in open pelvic fractures
F D Brenneman1, D Katyal, B R Boulanger
1Department of Surgery, Sunnybrook Health Science Centre, University of Toronto, Ontario, Canada.
The Journal of Trauma
|May 1, 1997
Summary
Open pelvic fractures are severe orthopedic injuries. Survivors often face chronic pain, disability, and require significant transfusions and colostomies.
Area of Science:
- Orthopedic Trauma
- Injury Characteristics
- Patient Outcomes
Background:
- Open pelvic fractures are devastating orthopedic injuries.
- This study analyzes injury patterns, complications, mortality, and long-term quality of life.
Purpose of the Study:
- To document injury characteristics of open pelvic fractures.
- To assess complications, mortality, and long-term health-related quality of life.
Main Methods:
- Retrospective review of trauma registry data (1987-1995).
- Included blunt trauma patients with pelvic fractures (n=1,179).
- Long-term outcomes assessed via SF-36 and Functional Independence Measure.
Main Results:
- Open pelvic fractures occurred in 4% of patients.
- Open fracture patients were younger, more likely male, and had motorcycle crashes.
- Open fractures led to higher blood transfusion needs and infectious complications without colostomy.
Conclusions:
- Open pelvic fracture survivors often require massive transfusions and colostomies.
- Chronic pain and physical disabilities are common, impacting functioning and employment.
- Open pelvic fractures present unique challenges in orthopedic trauma management.