Clinical and Radiological Outcomes after External Fixator as a Definitive Fixation in Patients with Unstable Pelvic Ring Fracture

Autor: Hiyama, Shuhei, Matsumura, Tomohiro, Takahashi, Tsuneari, Takeshita, Katsushi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: 自治医科大学紀要 = Jichi Medical University Journal. 43:49-54
ISSN: 1881-252X
Popis: IntroductionExternal fixators are commonly applied to pelvic ring fractures mainly for temporary stabilization. However, there are no reports that provide patient reported outcome measures. We report clinical and radiological outcomes following external fixation (EF) performed as a definitive fixation method in patients with unstable pelvic ring fractures, including complications and physical/mental health status assessment using the Short-Form 36-item Health Survey (SF-36).MethodsData of patients with unstable pelvic ring fractures were retrospectively analyzed using an electronic medical database. Inclusion criteria were patients with unstable pelvic ring fracture who underwent EF as a definitive fixation method and followed up for a minimum of 12 months.ResultsThis study included 25 patients. The grade of pelvic ring fracture was type B in 8 cases (32%) and type C in 17 cases (68%). The mean Majeed score was 84.0 ± 19.3. Moreover, 15 patients were rated“ excellent,” 7“ good,” 1“ fair,” and 2“ poor.” The outcome of physical function according to the SF-36 was significantly worse than that of the average Japanese population.ConclusionFavorable functional outcomes were reported by 88% of patients after EF as a definitive fixation method for unstable pelvic ring fracture. EF is a potential treatment option for unstable pelvic ring fractures in physically fragile patients or patients with other complications.
Databáze: OpenAIRE