Purpose:Lateral compression(LC)injuries account for more than two-thirds of all pelvic fractures.The goal of surgical treatment is to provide adequate stability and early mobilization.The consensus on posterior fixati...Purpose:Lateral compression(LC)injuries account for more than two-thirds of all pelvic fractures.The goal of surgical treatment is to provide adequate stability and early mobilization.The consensus on posterior fixation of such injuries is strong in the literature;however,the necessity of anterior ring fixation is not clear.Therefore,this study was formulated to determine the practicability of posterior-only fixation in LC injuries.Methods:Between March 2015 and May 2020,all patients with LC type pelvic ring fractures who were admitted and operated upon in a single level 1 trauma center were included in this cross-sectional observational study.Demographic data,co-morbidities,treatment,types of surgical fixation,concomitant injuries and surgeries,surgical complications,length of hospital stay,injury to weight bearing duration,and follow-up period were documented.Functional outcome and quality of life were assessed using Majeed score and SF-36 questionnaire.Non-normally distributed data were presented as median(Q1,Q3)and normally distributed data were presented as mean±standard deviation(SD).Spearman's rank correlation coefficient was used for correlation analysis.Results:A total of 25 patients were included,with a mean age of 29.8 years.All patients were managed operatively with posterior-only fixation.The median Majeed score was 90(76,95).The median physical component summary score was 69.37(38.75,85.62).The median mental component summary score was 63.95(39.25,87.87).There was no significant difference compared to population norms of both physical component summary and mental component summary.Injury to weight bearing time correlated significantly(p=0.002)with Majeed score as well as SF-36 score(p=0.044).No other variable had a significant association with outcomes.Conclusion:Posterior-only fixation is sufficient for fixing LC injuries with up to 80%of cases having good to excellent functional outcomes.However,comparative studies with larger sample sizes are needed for further validation.展开更多
Purpose:Pelvic fractures are severe injuries and are often associated with multiple system injuries,exacerbating the overall outcome.In India,the incidence of pelvic fractures is on a rise due to suboptimal roads and ...Purpose:Pelvic fractures are severe injuries and are often associated with multiple system injuries,exacerbating the overall outcome.In India,the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty.Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India.Methods:A 16-month(between September 2015 and December 2016)prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital.Demography of patients,mechanism of injuries and complications were recorded prospectively.Results:We observed 75 patients who presented with pelvic fractures,where 56 were males and 19 were females.Mean age of the study populationwas 37.57 years.Road traffic accidents were the most common mode of injuries.Lateral compression injuries were the most common pattern.Associated injuries frequently encountered were lower extremities and acetabulum fractures,blunt abdominal trauma,urogenital injuries and head injuries.Out of the 75 patients,52 were treated surgically and 23 were managed by conservative methods.Associated injuries of the extremities,head,abdomen and urogenital system indicated a longer hospital stay.Conclusion:Pelvic fractures,although belong to a relatively rare trauma subset,cause a high morbidity and mortality with considerable burden on the economy.Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.展开更多
文摘Purpose:Lateral compression(LC)injuries account for more than two-thirds of all pelvic fractures.The goal of surgical treatment is to provide adequate stability and early mobilization.The consensus on posterior fixation of such injuries is strong in the literature;however,the necessity of anterior ring fixation is not clear.Therefore,this study was formulated to determine the practicability of posterior-only fixation in LC injuries.Methods:Between March 2015 and May 2020,all patients with LC type pelvic ring fractures who were admitted and operated upon in a single level 1 trauma center were included in this cross-sectional observational study.Demographic data,co-morbidities,treatment,types of surgical fixation,concomitant injuries and surgeries,surgical complications,length of hospital stay,injury to weight bearing duration,and follow-up period were documented.Functional outcome and quality of life were assessed using Majeed score and SF-36 questionnaire.Non-normally distributed data were presented as median(Q1,Q3)and normally distributed data were presented as mean±standard deviation(SD).Spearman's rank correlation coefficient was used for correlation analysis.Results:A total of 25 patients were included,with a mean age of 29.8 years.All patients were managed operatively with posterior-only fixation.The median Majeed score was 90(76,95).The median physical component summary score was 69.37(38.75,85.62).The median mental component summary score was 63.95(39.25,87.87).There was no significant difference compared to population norms of both physical component summary and mental component summary.Injury to weight bearing time correlated significantly(p=0.002)with Majeed score as well as SF-36 score(p=0.044).No other variable had a significant association with outcomes.Conclusion:Posterior-only fixation is sufficient for fixing LC injuries with up to 80%of cases having good to excellent functional outcomes.However,comparative studies with larger sample sizes are needed for further validation.
文摘Purpose:Pelvic fractures are severe injuries and are often associated with multiple system injuries,exacerbating the overall outcome.In India,the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty.Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India.Methods:A 16-month(between September 2015 and December 2016)prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital.Demography of patients,mechanism of injuries and complications were recorded prospectively.Results:We observed 75 patients who presented with pelvic fractures,where 56 were males and 19 were females.Mean age of the study populationwas 37.57 years.Road traffic accidents were the most common mode of injuries.Lateral compression injuries were the most common pattern.Associated injuries frequently encountered were lower extremities and acetabulum fractures,blunt abdominal trauma,urogenital injuries and head injuries.Out of the 75 patients,52 were treated surgically and 23 were managed by conservative methods.Associated injuries of the extremities,head,abdomen and urogenital system indicated a longer hospital stay.Conclusion:Pelvic fractures,although belong to a relatively rare trauma subset,cause a high morbidity and mortality with considerable burden on the economy.Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.
