Long-term outcome and quality of life of patients with unstable pelvic fractures treated by closed reduction and percutaneous fixation

BACKGROUND
Treatment of unstable pelvic fractures has evolved recently, and percutaneous treatment has become the choice of treatment in most cases. The aim of this study was to evaluate the outcome of percutaneous treatment in patients with unstable pelvic fractures.
METHODS
Twenty patients (11 females, 9 males; mean age, 32 years, range, 11-66 years) who had unstable pelvic fractures and were treated percutaneously were enrolled in the study. Short Form-36 (SF-36) scores, Majeed scores, Iowa Pelvic Scores, and Pelvic Outcome Scores were determined for the outcome assessment.
RESULTS
The minimum duration of follow-up was 2 years, (range, 24-48 months). The mean Injury Severity Score (ISS) was 31 (range, 16-50). The average SF-36 scores were comparable with the general population in terms of bodily pain, general health and social function. The mean Majeed functional pelvic score was 93.3 (range, 72-100; 19 excellent and 1 good clinical grades) and the mean Iowa Pelvic Score was 86 (range, 82-90). The mean Pelvic Outcome Score was 33 (range, 24-37; maximum score, 40).
CONCLUSION
We have demonstrated better outcomes in patients with pelvic fractures treated with percutaneous fixation. The technique may be advantageous as it avoids the use of extensive approaches, bleeding, wound complications, and prolonged surgeries.

Kapalý redüksiyon ve perkütan vidalama ile tespit edilmiþ anstabil pelvis kýrýklý hastalarda yaþam kalitesinin ve uzun dönem sonuçlarýn deðerlendirilmesi

AMAÇ
Kapalý redüksiyon ve perkütan vidalama ile tespiti son zamanlarda pelvis kýrýklý hastalarýn çoðunda tedavi seçeneði olmuþtur. Bu çalýþmanýn amacý, anstabil pelvis kýrýklý hastalarda uygulanan perkütan tedavinin uzun dönem sonuçlarýnýn ve hastalarýn yaþam kalitesinin deðerlendirilmesidir.
GEREÇ VE YÖNTEM
Ortalama yaþý 32 (daðýlým 11-66 yaþ) olan 20 hasta (11 kadýn, 9 erkek) çalýþmaya dahil edildi. Sonuçlarýn ve yaþam kalitesinin deðerlendirilmesi macýyla Kýsa Form-36 (KF-36) anketi, Majeed skorlamasý, Iowa pelvik skorlamasý ve pelvik sonuç deðerlendirme skorlamasý kullanýldý.
BULGULAR
En kýsa takip süresi 2 yýl (daðýlým 2-4 yýl) idi. Ortalama yaralanma þiddet skoru 31 (daðýlým 16-50) olarak bulundu. Ortalama KF-36 skorlarý vücut aðrýsý, genel saðlýk ve sosyal fonksiyonlarda normal toplum deðerleri ile benzer bulundu. Ortalama Majeed skoru 93.3 (daðýlým 72-100; 19 mükemmel ve 1 iyi klinik sonuç) ve ortalama Iowa pelvik skoru 86 (daðýlým 82-90) olarak bulundu. Ortalama pelvik sonuç deðerlendirme skoru ise 33 (daðýlým 24-37; en yüksek olasý skor, 40) idi.
SONUÇ
Pelvis kýrýklarýnda perkütan tedavi yöntemi ile iyi sonuçlar elde etmek mümkündür. Geniþ cerrahi yaklaþýmlarýn önlenmesi, kanamanýn, yara problemlerinin az olmasý ve uzun süreli cerrahilerden kaçýnýlmasý tekniðin avantajlarýdýr.