Document Detail

Improved outcome with early fixation of skeletally unstable pelvic fractures.
MedLine Citation:
PMID:  1986129     Owner:  NLM     Status:  MEDLINE    
Thirty-seven consecutive patients with unstable pelvic fractures were divided into two groups: Group 1 (July 1981 to December 1984; n = 18), when early fixation was not routinely used, and Group 2 (January 1985 to March 1988; n = 19), when early fixation was performed unless contraindicated. Hospital stay decreased by 37.8% in Group 2 (p = 0.04). Of Group 1 patients, 60% were disabled for at least 6 months versus 15.7% in Group 2 (p = 0.001), and 45% were discharged to a rehabilitation facility versus 26.4% in Group 2. Group 1 had more complications, 1.3 per patient, versus 1.0. Patients in Group 2 (undergoing early fixation) required 27.2% fewer units of blood than those in Group 1 in whom fracture surgery was delayed. Survival was better in Group 2, 100% versus 83.3% (p = 0.06). Early pelvic fracture fixation reduces hospital stay, long-term disability, and may result in fewer complications, decreased blood loss, and better survival.
B A Latenser; L M Gentilello; A A Tarver; J S Thalgott; J W Batdorf
Related Documents :
20419009 - Comparison of ponseti and kite's method of treatment for idiopathic clubfoot.
9801209 - Total ankle arthroplasty: a unique design. two to twelve-year follow-up.
24159129 - Changes in body composition and performance of a cerebral palsy paralympic athlete in p...
10194019 - Lengthening of pediatric forearm deformities using the ilizarov technique: functional a...
22779239 - Primary feather follicle ablation in common pintails (anas acuta acuta) and a white-fac...
8821279 - Operative vs. nonoperative treatment of intra-articular fractures of the calcaneus: a p...
25248319 - Effect of different surgical options on curative effect, nutrition, and health status o...
19674729 - Three-year follow-up of the tube versus trabeculectomy study.
2419679 - Pirmenol in the long-term treatment of chronic ventricular arrhythmias: a placebo-contr...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  31     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-02-13     Completed Date:  1991-02-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-31     Citation Subset:  AIM; IM    
Department of Surgery, University of Nevada School of Medicine, Las Vegas.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Fracture Fixation*
Fractures, Bone / complications,  mortality,  surgery*
Injury Severity Score
Middle Aged
Multiple Trauma / pathology
Outcome and Process Assessment (Health Care)
Pelvic Bones / injuries*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Multipiece tire rim injuries.
Next Document:  Heat loss in an animal experimental model.