Nonunion of Unstable Fractures of the Pelvis.

Autor: Van den Bosch, Eric W., Van der Kleyn, Richard, Van Zwienen, Marieke C. M. A., Van Vugt, Arie B.
Zdroj: European Journal of Trauma; Apr2002, Vol. 28 Issue 2, p100-103, 4p
Abstrakt: Background: Nonunion after pelvic ring fractures is often disabling for the patient and difficulr for the surgeon to treat. Little is known, however, about the functional outcome after treatment. Material and Methods: All patients diagnosed with nonunion after an unstable pelvic ring fracture between January 1, 1990 and May 1, 1999 were evaluated, the health status was assessed using the SF-36 Health Status Questionnaire and a functional score based on Majeed. Results: Eleven patients presented themselves with nonunion after pelvic ring fracture. In five patients the initial treatment was surgery, six patients were treated conservatively. Pain was the main complaint in most patients. All patients had been operated, which led to an improvement in their complaints. However, postoperative limitations in physical functioning were seen in several cases. Conclusions: Persistent pain after pelvic ring fracture may indicate the presence of nonunion, which is often only visible on computed tomography. Internal fixation can improve complaints and quality of life, although some limitations may persist. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index