%0 Journal Article
%T Three-year functional outcome after open pelvic fracture treatment: a retrospective case series from a level I trauma center.
%A Yu YH
%A Hsu YH
%A Chou YC
%A Liu CH
%A Tseng IC
%A Chen IJ
%J Eur J Orthop Surg Traumatol
%V 33
%N 4
%D May 2023 28
%M 35224667
暂无%R 10.1007/s00590-022-03234-x
%X OBJECTIVE: Open pelvic fractures have high mortality rates, and survivors may have ongoing functional deficits from severe trauma and invasive life-saving procedures. However, there are limited reports regarding the functional status evaluation following open pelvic fractures. We aimed to report the treatment experiences and short-term functional outcomes of patients with open pelvic fractures.
METHODS: We retrospectively reviewed the data of 19 consecutive patients with pelvic fractures who underwent treatment at a single institute between January 2014 and June 2018. The resuscitation protocol, osteosynthesis strategy, reduction quality of the pelvic ring, and functional outcomes were analyzed.
RESULTS: The incidence and mortality rates in patients with open pelvic fractures were 4.9 and 21.6%, respectively. Ten, one, and seven of the open wounds related to the pelvic fractures were located in Faringer zones I, II, and III, respectively. Fractures of four patients were categorized as classes 1 and 2, and those of 11 patients as class 3, according to the Jones-Powell classification. Eleven of 19 (57.9%) and 9 of 19 (47.5%) revealed excellent reduction quality by Matta/Torenetta and Lefaivre criteria, respectively. The Merle d'Aubigné score improved at each evaluation but stagnated after 24 months. The Majeed hip score also improved at the 12-month evaluation but the improvement stopped thereafter. At a 3-year follow-up, the patients with excellent reduction of the pelvic ring showed the highest functional performances.
CONCLUSIONS: Improvements in functional status of patients with open pelvic fractures can be anticipated based on the reduction quality of the pelvis ring.