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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2011 June;62(3):165-70
Medium term functional outcome of unstable pelvic ring fractures
Cicirello M., Nicodemo A., Bernardi A., Capella M., Massè A.
Unità di Ortopedia e Traumatologia, Azienda Ospedaliera Universitaria, San Luigi Gonzaga, Orbassano, Torino, Italia
AIM: Unstable pelvic ring fractures are about 6% of all fractures. They occur after high energy mechanism and affect usually young people; they require a long period of rehabilitation with high social-economical cost. The purpose of this study is the evaluation of the medium term outcome of unstable pelvic ring fractures taking into consideration their functional and radiological outcome.
METHODS:This retrospective study includes 80 patients with unstable pelvic fracture surgically treated from 2002 to 2009. The functional evaluation has been performed using the Majeed score. The mean follow-up was 25 RESULTS: In the majority of patients the global life quality resulted reduced: particularly in the sexual field. Prompt surgical treatment and the quality of the reduction showed a strong positive prognostic meaning in order to assure a better functional evaluation.
CONCLUSION:The prognosis of unstable pelvic ring fractures is afflicted by a wide spectrum of relevant dysfunctions. The comprehension of long-term outcome of pelvic ring disruptions could have important prognostic and therapeutic implications, in order to warrant to these patients a better quality of life.