Cargando…
Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture
Background and Objectives: The treatment algorithm of lateral compression B2 type pelvic fractures are still under debate. Some authors advocate conservative treatment, while others recommend surgical approach. The clear indications for isolated anterior or posterior ring fixation or combined anteri...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996925/ https://www.ncbi.nlm.nih.gov/pubmed/33652683 http://dx.doi.org/10.3390/medicina57030204 |
_version_ | 1783670211931537408 |
---|---|
author | Petryla, Giedrius Uvarovas, Valentinas Bobina, Rokas Kurtinaitis, Jaunius Puronaitė, Roma Kvederas, Giedrius Šatkauskas, Igoris |
author_facet | Petryla, Giedrius Uvarovas, Valentinas Bobina, Rokas Kurtinaitis, Jaunius Puronaitė, Roma Kvederas, Giedrius Šatkauskas, Igoris |
author_sort | Petryla, Giedrius |
collection | PubMed |
description | Background and Objectives: The treatment algorithm of lateral compression B2 type pelvic fractures are still under debate. Some authors advocate conservative treatment, while others recommend surgical approach. The clear indications for isolated anterior or posterior ring fixation or combined anterior-posterior pelvic ring fixation of B2 type fractures remain unclear. The aim of this study was to compare the functional outcomes and quality of life after isolated posterior pelvic ring fixation and combined anterior-posterior pelvic ring fixation for the treatment of B2 pelvic fractures. Materials and Methods: Patients aged 18 to 65 years with B2 type pelvic fracture hospitalized in a single trauma centre over a period of 3 years were included in the research. Based on the attending surgeon’s preference, patients were treated with isolated posterior or combined anterior-posterior pelvic fixation. The quality of life and pelvic function were assessed using SF-36 and Majeed questionnaires, respectively. Patients filled in the questionnaires twice: during the first hospitalization (concerning their pre-trauma state—timepoint I) and one-year after the injury (timepoint II). Results: A cohort of 32 patients with B2 type pelvic fracture was enrolled in the analysis: 23 (72%) were female and 9 (28%) were male. The mean age was 35.3 ± 11.9 years. In this cohort 13 (41%) patients underwent isolated posterior pelvic ring fixation (group I) and 19 (59%) patients underwent combined anterior-posterior pelvic ring fixation (group II). No statistically significant differences were observed between the groups in both timepoints concerning Majeed, SF-36 PCS and MCS scores. However, in both groups Majeed and SF-36 PCS scores were statistically significantly lower one year after pelvic fracture compared with pre-trauma state, while SF-36 MCS scores did not differ. Conclusions: No differences were found in quality of life and functional outcomes between isolated posterior pelvic ring fixation and combined anterior-posterior fixation for the treatment of B2 type pelvic fractures. |
format | Online Article Text |
id | pubmed-7996925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79969252021-03-27 Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture Petryla, Giedrius Uvarovas, Valentinas Bobina, Rokas Kurtinaitis, Jaunius Puronaitė, Roma Kvederas, Giedrius Šatkauskas, Igoris Medicina (Kaunas) Article Background and Objectives: The treatment algorithm of lateral compression B2 type pelvic fractures are still under debate. Some authors advocate conservative treatment, while others recommend surgical approach. The clear indications for isolated anterior or posterior ring fixation or combined anterior-posterior pelvic ring fixation of B2 type fractures remain unclear. The aim of this study was to compare the functional outcomes and quality of life after isolated posterior pelvic ring fixation and combined anterior-posterior pelvic ring fixation for the treatment of B2 pelvic fractures. Materials and Methods: Patients aged 18 to 65 years with B2 type pelvic fracture hospitalized in a single trauma centre over a period of 3 years were included in the research. Based on the attending surgeon’s preference, patients were treated with isolated posterior or combined anterior-posterior pelvic fixation. The quality of life and pelvic function were assessed using SF-36 and Majeed questionnaires, respectively. Patients filled in the questionnaires twice: during the first hospitalization (concerning their pre-trauma state—timepoint I) and one-year after the injury (timepoint II). Results: A cohort of 32 patients with B2 type pelvic fracture was enrolled in the analysis: 23 (72%) were female and 9 (28%) were male. The mean age was 35.3 ± 11.9 years. In this cohort 13 (41%) patients underwent isolated posterior pelvic ring fixation (group I) and 19 (59%) patients underwent combined anterior-posterior pelvic ring fixation (group II). No statistically significant differences were observed between the groups in both timepoints concerning Majeed, SF-36 PCS and MCS scores. However, in both groups Majeed and SF-36 PCS scores were statistically significantly lower one year after pelvic fracture compared with pre-trauma state, while SF-36 MCS scores did not differ. Conclusions: No differences were found in quality of life and functional outcomes between isolated posterior pelvic ring fixation and combined anterior-posterior fixation for the treatment of B2 type pelvic fractures. MDPI 2021-02-26 /pmc/articles/PMC7996925/ /pubmed/33652683 http://dx.doi.org/10.3390/medicina57030204 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ). |
spellingShingle | Article Petryla, Giedrius Uvarovas, Valentinas Bobina, Rokas Kurtinaitis, Jaunius Puronaitė, Roma Kvederas, Giedrius Šatkauskas, Igoris Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title | Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title_full | Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title_fullStr | Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title_full_unstemmed | Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title_short | Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture |
title_sort | comparison of one-year functional outcomes and quality of life between posterior pelvic ring fixation and combined anterior-posterior pelvic ring fixation after lateral compression (b2 type) pelvic fracture |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996925/ https://www.ncbi.nlm.nih.gov/pubmed/33652683 http://dx.doi.org/10.3390/medicina57030204 |
work_keys_str_mv | AT petrylagiedrius comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT uvarovasvalentinas comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT bobinarokas comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT kurtinaitisjaunius comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT puronaiteroma comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT kvederasgiedrius comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture AT satkauskasigoris comparisonofoneyearfunctionaloutcomesandqualityoflifebetweenposteriorpelvicringfixationandcombinedanteriorposteriorpelvicringfixationafterlateralcompressionb2typepelvicfracture |