[Quality of life after surgical treatment of pelvic ring fractures. Are long-term results predictable?].
Patients with fractures of the pelvic ring and accompanying injuries special of the extremity make heavy demands on hospital resources and face difficulties in rehabilitation. From the patients point of view milestones in recovery are quality of live and return to productivity. We studied 64 patients with pelvic-ring-fractures in a period of 10 years. The follow up was taken 4 years after discharge. PTS-score and AO-classification correlate directly to long-term disability, based on Rosser-Index, and "return to productivity" figures but not always to radiological and clinical outcome. This study emphasizes the need for new injury scoring systems that better predict the recovery and ability to return to work of trauma patients after surviving unstable pelvic fractures. Proper follow-up evaluations should analyse the patient's quality of live and working activity beside traditional item like radiological and clinical findings.
Weber
K
K
Klinik für Unfall- und Wiederherstellungschirurgie, Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, BG-Unfallklinik, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen. skweber@t-online.de
Vock
B
B
Müller
W
W
Wentzensen
A
A
D000293:Adolescent; D000328:Adult; D002648:Child; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000534:rehabilitation; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000534:rehabilitation; D011788:Quality of Life; D012050:Rehabilitation, Vocational; D012189:Retrospective Studies