This paper is only available as a PDF. To read, Please Download here.
Abstract
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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Outcome research in orthopaedics, Instructional course lectures.J Bone Joint Surg [Am]. 1993; 75A: 1562
- Fundamentals of outcome research.in: Symposium on Outcomes and Effectiveness in Musculoskeletal Research. American Academy of Orthopaedic Surgeons, Department of Research, Rosemont, IL1994
- Critical review of the international assessments of health related quality of life.Quality Life Res. 1993; 2: 369
- Pelvic ring fractures. Should they be fixed?.J Bone Joint Surg [Br]. 1988; 70B: 1
- Double vertical fractures of the pelvis: a report on 163 patients.Acta Chir Scand. 1972; 138: 799
- Improved outcome with early fixation of skeletally unstable pelvic fractures.J Trauma. 1991; 31: 28
- Pelvic fracture from major blunt trauma, outcome is determined by associated injuries.Ann Surg. 1991; 6: 532
- Causes of mortality in patients with pelvic fractures.Orthopaedics. 1994; 17: 691
- The Hanover experience in management of pelvic fractures.Clin Orthop Rel Res. 1994; 305: 69
- 351 total hip replacements according to Charnley. A review of complications and function.Acta Orthop Scand. 1981; 52: 339
- Health status: types of validity for an index of well being.Health Serv Res. 1976; 11: 478
- The Sickness Impact Profile: development and final revision of a health status measure.Med Care. 1981; 19: 787
- Predictors of functional outcomes after arthroscopic partial meniscetomy.J Rheumatol. 1992; 19: 1938
- Patient outcomes after lumbar spine fusions.J Am Med Assoc. 1992; 268: 907
- Patient oriented functional outcome after unilateral lower extremity fracture.J Orthop Trauma. 1993; 7: 393
- Physical impairment and functional outcomes six months after severe lower extremity fractures.J Trauma. 1993; 34: 528
- Relationship between symptoms and health related quality of life in chronic lung disease.J Gen Intern Med. 1994; 9: 46
- Outcome management in heart valve replacement surgery: Early experience.J Heart Valve Dis. 1992; 1: 42
- Comparative measurement sensitivity of short and longer health status instruments.Med Care. 1992; 30: 917
- Using health status measures in the hospital setting: from acute care to ‘outcomes management’.Med Care. 1992; 30: 57
- External fixation and limited internal fixation for complex fractures of the tibial plateau.J Bone Joint Surg. 1995; 77A: 661
- Position papers from the Third National Injury Control Conference: Setting the national agenda for injury control in the 1990's, Denver ColoradoApril, 1991
- The retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique.J Orthop Trauma. 1995; 1: 35
- Iliosacral screw fixation of the disrupted sacroiliac joint.Techniques Orthop. 1995; 9: 300
- Early versus delayed stabilisation of femoral fractures. A prospective randomised study.J Bone Joint Surg [Am]. 1989; 71A: 336
- Incidence of adult respiratory distress syndrome in patients with multiple musculoskeletal injuries. Effect of early operative stabilisation of fractures.J Trauma. 1985; 23: 375
- Grading the outcome of pelvis fractures.J Bone Joint Surg [Br]. 1989; 71B: 304
- External fixation of the injured pelvis. The functional outcome.J Bone Joint Surg. 1990; 72B: 612
- Unstable fractures and dislocations of the pelvic ring: results of treatment in relation to severity of injury.Neth J Surg. 1985; 37: 148
- The MOS short form general health survey: reliability and validity in a patient population.Med Care. 1988; 26: 724
- The medical outcomes study: an application of methods for monitoring the results of medical care.J Am Med Assoc. 1989; 262: 925
- 9th Ed. SF-36 Physical and Mental Health Summary Scales: A User's Manual. The Health Institute, New England Medical Center, Boston1994
- The SF-36 health survey questionnaire: an outcome measure suitable for routine use within the NHS?.Br Med J. 1993; 306: 1440
- 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
- The injury severity score. A method for describing patients with multiple injuries and evaluating emergency care.J Trauma. 1974; 14: 187
- Comparison of a generic and a disease specific measure of pain and physical function after knee replacement surgery.Med Care. 1995; 33: 131
- Effect of trauma and pelvic fracture on female sexual function.in: Proc Am Acad Orthop Surg, Florida9th Ed. Paper number 484. 1995
- Criterion validity and reliability of the SF-36 in a population sample.Qual Life Res. 1994; 3: 7
- SF-36 health survey questionnaire normative data for adults of working age.Br Med. 1993; 306: 1437
- The challenge.J Am Med Assoc. 1990; 263: 287
- Clinical decision making: from theory to practice. Anatomy of a decision.J Am Med Assoc. 1990; 263: 441
- Clinical decision making: From theory to practice. Practice policies: practice policies—what are they?.J Am Med Assoc. 1990; 263: 877
- 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
- Clinical decision making: resolving conflicts in practice policies.J Am Med Assoc. 1990; 264: 389
Article info
Publication history
Accepted:
June 6,
1996
Identification
Copyright
© 1996 Published by Elsevier Inc.
