Paper| Volume 27, ISSUE 9, P635-641, November 1996

Outcome after pelvic ring fractures: evaluation using the medical outcomes short form SF-36

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      Fifty-five multiply injured patients with operatively treated unstable pelvic fractures were evaluated for patient-oriented outcome measures. Forty-six adult patients were eligible to complete the SF-36 medical outcome score and completed the SF-36 eight scale medical outcome score by postal questionnaire at a mean follow up to 2 years. The average Injury Severity Score of the eligible patients was 17.5. The average age of the patients was 32 years and 8 months. Fractures were classified by the Tile classification and there were 13 type B and 33 type C pelvic fractures. Seventy-six per cent of patients responded to the surgery. There was a 14 per cent impairment in physical outcome score and a 5.5 per cent impairment in mental outcome score compared with the normal population. The physical and mental outcome of multiply injured patients with pelvic fractures can be measured objectively.
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        • Keller RB
        • Rudicel SA
        • Liang MH
        Outcome research in orthopaedics, Instructional course lectures.
        J Bone Joint Surg [Am]. 1993; 75A: 1562
        • Keller RB
        • Amadio PC
        • Boland AL
        • Bourne RB
        • Heck DA
        • Kneisl JS
        • Noall DL
        • Rudicel SA
        • Swiontkowski MF
        Fundamentals of outcome research.
        in: Symposium on Outcomes and Effectiveness in Musculoskeletal Research. American Academy of Orthopaedic Surgeons, Department of Research, Rosemont, IL1994
        • Anderson RT
        • Aaronson NK
        • Wilkin D
        Critical review of the international assessments of health related quality of life.
        Quality Life Res. 1993; 2: 369
        • Tile M
        Pelvic ring fractures. Should they be fixed?.
        J Bone Joint Surg [Br]. 1988; 70B: 1
        • Slatis P
        • Huittinen V
        Double vertical fractures of the pelvis: a report on 163 patients.
        Acta Chir Scand. 1972; 138: 799
        • Latenser BA
        • Gentilello LM
        • Tarver AA
        • Thalgott JS
        • Batdorf JW
        Improved outcome with early fixation of skeletally unstable pelvic fractures.
        J Trauma. 1991; 31: 28
        • Poole GV
        • Ward EF
        • Muakkassa FF
        • Hsu H
        • Griswold JA
        • Rhodes RS
        Pelvic fracture from major blunt trauma, outcome is determined by associated injuries.
        Ann Surg. 1991; 6: 532
        • Poole GV
        • Ward EF
        Causes of mortality in patients with pelvic fractures.
        Orthopaedics. 1994; 17: 691
        • Pohlemann T
        • Bosch U
        • Gansslen A
        • Tscherne H
        The Hanover experience in management of pelvic fractures.
        Clin Orthop Rel Res. 1994; 305: 69
        • Carlson AS
        351 total hip replacements according to Charnley. A review of complications and function.
        Acta Orthop Scand. 1981; 52: 339
        • Kaplan RM
        • Bush JW
        • Berry CC
        Health status: types of validity for an index of well being.
        Health Serv Res. 1976; 11: 478
        • Bergner M
        • Bobbitt R
        • Carter W
        The Sickness Impact Profile: development and final revision of a health status measure.
        Med Care. 1981; 19: 787
        • Katz JN
        • Harris TN
        • Larson MG
        • Brown CH
        • Fossel AH
        • Laing MH
        Predictors of functional outcomes after arthroscopic partial meniscetomy.
        J Rheumatol. 1992; 19: 1938
        • Turner JA
        • Ersek M
        • Herron L
        • Husekorn J
        • Kent D
        • Ciol MA
        • Deyo R
        Patient outcomes after lumbar spine fusions.
        J Am Med Assoc. 1992; 268: 907
        • MacKenzie EJ
        • Burgess AR
        • McAndrew MP
        • Swiontkowski MF
        • Cushing BM
        • deLateur BJ
        • Jurkovich GJ
        • Morris JA
        Patient oriented functional outcome after unilateral lower extremity fracture.
        J Orthop Trauma. 1993; 7: 393
        • MacKenzie EJ
        • Cushing BM
        • Jurkovich GJ
        • Morris JA
        • Burgess AR
        • deLateur BJ
        • McAndrew MP
        • Swiontkowski MF
        Physical impairment and functional outcomes six months after severe lower extremity fractures.
        J Trauma. 1993; 34: 528
        • Viramontes JL
        • O'Brien B
        Relationship between symptoms and health related quality of life in chronic lung disease.
        J Gen Intern Med. 1994; 9: 46
        • Phillips RC
        • Lansky DJ
        Outcome management in heart valve replacement surgery: Early experience.
        J Heart Valve Dis. 1992; 1: 42
        • Katz JN
        • Larson MG
        • Phillips CB
        • Fossel AH
        • Laing MH
        Comparative measurement sensitivity of short and longer health status instruments.
        Med Care. 1992; 30: 917
        • Lansky D
        • Butler JB
        • Waller FT
        Using health status measures in the hospital setting: from acute care to ‘outcomes management’.
        Med Care. 1992; 30: 57
        • Marsh JL
        • Smith ST
        • Do TT
        External fixation and limited internal fixation for complex fractures of the tibial plateau.
        J Bone Joint Surg. 1995; 77A: 661
        • Department of Health and Human Services
        Position papers from the Third National Injury Control Conference: Setting the national agenda for injury control in the 1990's, Denver ColoradoApril, 1991
        • Routt MLC
        • Simonian PT
        • Grujic L
        The retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique.
        J Orthop Trauma. 1995; 1: 35
        • Routt MLC
        • Simonian PT
        • Grujic L
        Iliosacral screw fixation of the disrupted sacroiliac joint.
        Techniques Orthop. 1995; 9: 300
        • Bone LB
        • Johnson KD
        • Weight J
        • Scheinberg R
        Early versus delayed stabilisation of femoral fractures. A prospective randomised study.
        J Bone Joint Surg [Am]. 1989; 71A: 336
        • Johnson KD
        • Cadambi A
        • Seibert GB
        Incidence of adult respiratory distress syndrome in patients with multiple musculoskeletal injuries. Effect of early operative stabilisation of fractures.
        J Trauma. 1985; 23: 375
        • Mageed SA
        Grading the outcome of pelvis fractures.
        J Bone Joint Surg [Br]. 1989; 71B: 304
        • Mageed SA
        External fixation of the injured pelvis. The functional outcome.
        J Bone Joint Surg. 1990; 72B: 612
        • Hesp W
        Unstable fractures and dislocations of the pelvic ring: results of treatment in relation to severity of injury.
        Neth J Surg. 1985; 37: 148
        • Stewart AL
        • Hayes RD
        • Ware JE
        The MOS short form general health survey: reliability and validity in a patient population.
        Med Care. 1988; 26: 724
        • Tarlov AR
        • Ware JE
        • Greenfield S
        The medical outcomes study: an application of methods for monitoring the results of medical care.
        J Am Med Assoc. 1989; 262: 925
        • Ware JE
        • Kosinski M
        • Keller SD
        9th Ed. SF-36 Physical and Mental Health Summary Scales: A User's Manual. The Health Institute, New England Medical Center, Boston1994
        • Garratt AM
        • Ruta DA
        • Abdulla MI
        • Buckingham JK
        • Russell IT
        The SF-36 health survey questionnaire: an outcome measure suitable for routine use within the NHS?.
        Br Med J. 1993; 306: 1440
        • Johnson PA
        • Goldman L
        • Orav EJ
        • Garcia T
        • Pearson SD
        • Lee TH
        Comparison of medical outcome study SF-36-Item health survey in black patients and white patients with acute chest pain.
        Med Care. 1995; 33: 145
        • Baker SP
        • O'Neill B
        • Haddon W
        The injury severity score. A method for describing patients with multiple injuries and evaluating emergency care.
        J Trauma. 1974; 14: 187
        • Bombardier C
        • Melfi CA
        • Paul J
        • Green R
        • Hawker R
        • Wright J
        • Coyte P
        Comparison of a generic and a disease specific measure of pain and physical function after knee replacement surgery.
        Med Care. 1995; 33: 131
        • Copeland CE
        • McCarthy ML
        • Bosse MJ
        • Mackenzie EJ
        • Hash C
        • Guzinski GM
        • Burgess AR
        Effect of trauma and pelvic fracture on female sexual function.
        in: Proc Am Acad Orthop Surg, Florida9th Ed. Paper number 484. 1995
        • Jenkinson C
        • Wright L
        • Coulter A
        Criterion validity and reliability of the SF-36 in a population sample.
        Qual Life Res. 1994; 3: 7
        • Jenkinson C
        • Coulter A
        • Wright L
        SF-36 health survey questionnaire normative data for adults of working age.
        Br Med. 1993; 306: 1437
        • Eddy DM
        The challenge.
        J Am Med Assoc. 1990; 263: 287
        • Eddy DM
        Clinical decision making: from theory to practice. Anatomy of a decision.
        J Am Med Assoc. 1990; 263: 441
        • Eddy DM
        Clinical decision making: From theory to practice. Practice policies: practice policies—what are they?.
        J Am Med Assoc. 1990; 263: 877
        • Eddy DM
        Clinical decision making: from theory to practice. Connecting values and costs, whom do we ask, and what do we ask them.
        J Am Med Assoc. 1990; 264: 1737
        • Eddy DM
        Clinical decision making: resolving conflicts in practice policies.
        J Am Med Assoc. 1990; 264: 389