Medium-Term Patient-Reported Quality of Life and Activities of Daily Living in Surgically Treated Trauma Patients With Pelvic, Acetabular or Combined Pelvic and Acetabular Fractures in a Retrospective Single-Center Study.

Autor:	de Krom MAP; Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, the Netherlands., Kalmet PHS; Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, the Netherlands., Jagtenberg EM; Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, the Netherlands., Jansen JJR; Department of Amputation, Adelante Rehabilitation Center, Traumatology and Orthopaedics, Hoensbroek, the Netherlands., Versteegh VE; Department of Radiology, Maastricht University Medical Center, Maastricht, the Netherlands., Verbruggen JPAM; Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, the Netherlands., Seelen HAM; Adelante Center of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands.; Department of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, Maastricht, the Netherlands; and., Poeze M; Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.; Nutrim School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, the Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic trauma [J Orthop Trauma] 2021 Apr 01; Vol. 35 (4), pp. 192-197.
DOI:	10.1097/BOT.0000000000001965
Abstrakt:	Objective: To gain more insights in the medium-term patient-reported quality of life (QoL), activities of daily living (ADL), and number of complications in trauma patients with an acetabular fracture (AF), a pelvic fracture (PF), and those with a surgically combined pelvic and AF (PAF). Design: Retrospective single-center study. Setting: Level I academic trauma center. Patients/participants: 51 trauma patients with PF, AF, or PAF who were surgically treated between 2014 and 2017. Intervention: Open reduction and internal fixation. Main Outcome Measurements: Primary outcome measures are patient-reported outcome questionnaire, which includes 2 items, the QoL, as measured with the Short Form-12, and the ADL, as measured with the Lower Extremity Functional Scale. The secondary outcome parameter was the occurrence of complications during a follow-up of at least 2 years. Results: The mean physical component score (PCS) of the QoL (P = 0.03) and the ADL (P = 0.03) were significantly higher in patients with AF compared with patients with PF. The incidence of the overall postoperative complications did not significantly differ between the PF, AF, and PAF groups (P = 0.28). Conclusions: This study found that the PCS of the QoL and the ADL in surgically treated trauma patients with PF were significantly lower compared with patients with AF. No significant differences were found in overall complication rate between the PF, AF, and PAF groups. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. Competing Interests: The authors report no conflict of interest. (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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