Functional assessment of daily living activities following surgical management of young-burgess lateral compression type-II pelvic fractures with combined anterior and posterior internal fixation
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20234035Keywords:
Functional assessment, Daily activities, Young-Burgess lateral compression fractureAbstract
Background: Fractures of the ischiopubic bones, S-I joint, and sacrum are among the most common bony injuries. Various procedures are available for managing this condition. Biomechanically, internal fixation of both the posterior and anterior lesions can offer complete stability to the pelvic ring. This study aimed to assess the functional assessment of daily living activities following surgical management of young-burgess lateral compression type-II pelvic fractures with combined anterior and posterior internal fixation.
Methods: This descriptive observational study was conducted at the Department of Orthopedics & Traumatology, Dhaka Medical College & Hospital, Dhaka, Bangladesh from July 2016 to June 2018. A total of 44 patients with pelvic injuries admitted to the respective department were purposively enrolled as the study population. Data analysis was performed using the MS Office tools.
Results: Most patients (68.18%) continued their jobs with reduced performance, while 22.72% maintained both job and performance levels. Regarding functional assessment, 54.54% could sit pain-free, with only 13.63% experiencing discomfort. None reported painful sexual intercourse. Mobility-wise, no one was bedridden or could only walk a few meters, and 0% needed walking sticks. Additionally, 18.81% could walk for one hour with a stick, while 63.63% had a normal walking distance for their age. No limitations in walking time or distance were observed in 63.63% of cases.
Conclusions: This study concludes that stabilization of LC type-II pelvic ring fractures by anterior, combined, or posterior reconstruction plate provides a good result concerning daily living activities.
References
Tile M. The management of unstable injuries of the pelvic ring, J Bone Joint Surg. 1999;81:941-3.
Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg. 1988;70(1):1-12.
Tornetta P, Dickson K, Matta JM. Outcome of rotationally unstable pelvic ring injuries treated operatively. Clin Orthop Related Res®. 1996;329:147-51.
Matta JM, Tornetta III P. Internal fixation of unstable pelvic ring injuries, Clinical Orthopaedics and Related Research (1976-2007). 1996;329:129-40.
Miranda MA, Riemer BL, Butterfield SL, Burke III, CJ. Pelvic Ring Injuries: A Long Term Functional Outcome Study, Clinical Orthopaedics and Related Research (1976-2007). 1996;329:152-9.
Deviprasad S, Sriram Thanigai T, Rajkumar R. A prospective study of functional outcome of pelvic fractures treated with an external fixator. Int J Orthop. 2015;1(2):12-5.
Avilucea FR, Whiting PS. Mir H. Posterior fixation of APC-2 pelvic ring injuries decreases rates of anterior plate failure and malunion. JBJS. 2016;98(11):944-51.
Oh HK, Choo SK, Kim JJ, Lee M. Stoppa approach for anterior plate fixation in unstable pelvic ring injury, Clin Orthop Surg. 2016;8(3):243-8.
Zamzam MM. Unstable pelvic ring injuries, Outcome and timing of surgical treatment by internal fixation. Saudi Med J. 2004;25(11):1670-4.
Van den Bosch EW, Van der Kleyn R, Hogervorst M, Van Vugt AB. Functional outcome of internal fixation for pelvic ring fractures. J Trauma Acute Care Surg. 1999;47(2):365-71.
Matta JM, Tornetta III P. Internal fixation of unstable pelvic ring injuries. Clin Orthop Related Res (1976-2007). 1999;329:129-40.
Kwon HM, Kim SH, Hong JS, Choi WJ, Ahn R, Hong ES. Abdominal solid organ injury in trauma patients with pelvic bone fractures, Ulus Travma Acil Cerrahi Derg. 2014;20(2):113-9.
Miranda MA, Riemer BL, Butterfield SL, Burke III CJ. Pelvic Ring Injuries: A Long Term Functional Outcome Study. Clin Orthop Related Res (1976-2007). 1996;329:152-9.
Pavendi MT, Hasankhani EG. Spino-pelvic fixation for vertically unstable type C fractures of the pelvis. Iranian Red Crescent Med J. 2009;11(1):42-5.
Majeed SA. Grading the outcome of pelvic fractures, J Bone Joint Surg. 1989;71(2):304-6.