PMID- 31335508
OWN - NLM
STAT- MEDLINE
DCOM- 20201016
LR  - 20201016
IS  - 1531-2291 (Electronic)
IS  - 0890-5339 (Linking)
VI  - 33
IP  - 12
DP  - 2019 Dec
TI  - The Longitudinal Short-, Medium-, and Long-Term Functional Recovery After 
      Unstable Pelvic Ring Injuries.
PG  - 608-613
LID - 10.1097/BOT.0000000000001588 [doi]
AB  - OBJECTIVES: Describe the trajectory of functional recovery for patients with 
      surgically treated unstable pelvic ring injuries from baseline to 5 years. 
      DESIGN: Prospective cohort study. SETTING: Level I Trauma Center. 
      PATIENTS/PARTICIPANTS: One hundred eight adult patients with surgically treated 
      pelvic fractures (72% OTA/AO 61 B1-B3 and 28% OTA/AO 61 C1-C3) were enrolled into 
      the institutions orthopaedic trauma database between 2004 and 2015. The cohort 
      was 78% men with a mean age of 44.9 years and injury severity score of 16.9. 
      INTERVENTION: Surgical pelvic stabilization. MAIN OUTCOME MEASUREMENTS: Function 
      was measured at baseline and prospectively at 6 months, 1, and 5 years 
      postoperatively using the Short Form-36 Physical Component Score (SF-36 PCS). The 
      trajectory was mapped, and the proportion of patients achieving a minimal 
      clinically important difference (MCID) between time points was determined. 
      RESULTS: The mean SF-36 PCS improved for the entire group between 6 and 12 months 
      (P = 0.001) and between 1 and 5 years (P = 0.02), but did not return to baseline 
      at 5 years (P < 0.0001). The proportion of patients achieving a MCID between 6 
      and 12 months and 1 and 5 years was 75% and 60%, respectively. The functional 
      level was similar between type B and C groups at baseline (P = 0.5) and 6 months 
      (P = 0.2); however, the type B cohort reported higher scores at 1 year (P = 0.01) 
      and 5 years (P = 0.01). Neither group regained their baseline function (P < 
      0.0001). CONCLUSIONS: Functional recovery for patients with surgically treated 
      pelvic fractures is characterized by an initial decline in function, followed by 
      sharp improvement between 6 and 12 months, and continued steady improvement 
      between 1 and 5 years. Type B injuries show better early recovery than type C and 
      reach a higher level of function at the final follow-up. Despite the proportion 
      of patients achieving MCID, patients do not regain the preinjury level of 
      function. LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors 
      for a complete description of levels of evidence.
FAU - Neufeld, Michael E
AU  - Neufeld ME
AD  - Department of Orthopaedics, University of British Columbia, Vancouver, BC, 
      Canada.
FAU - Broekhuyse, Henry M
AU  - Broekhuyse HM
FAU - O'Brien, Peter J
AU  - O'Brien PJ
FAU - Guy, Pierre
AU  - Guy P
FAU - Lefaivre, Kelly A
AU  - Lefaivre KA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Orthop Trauma
JT  - Journal of orthopaedic trauma
JID - 8807705
SB  - IM
MH  - Adult
MH  - Female
MH  - *Fracture Fixation
MH  - Fracture Healing
MH  - Fractures, Bone/diagnosis/physiopathology/*surgery
MH  - Humans
MH  - Injury Severity Score
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Pelvic Bones/*injuries
MH  - Recovery of Function/*physiology
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2019/07/25 06:00
MHDA- 2020/10/21 06:00
CRDT- 2019/07/24 06:00
PHST- 2019/07/25 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
PHST- 2019/07/24 06:00 [entrez]
AID - 10.1097/BOT.0000000000001588 [doi]
PST - ppublish
SO  - J Orthop Trauma. 2019 Dec;33(12):608-613. doi: 10.1097/BOT.0000000000001588.