Document Detail


Improved outcome with early fixation of skeletally unstable pelvic fractures.
MedLine Citation:
PMID:  1986129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
B A Latenser; L M Gentilello; A A Tarver; J S Thalgott; J W Batdorf
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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    
Affiliation:
Department of Surgery, University of Nevada School of Medicine, Las Vegas.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Fracture Fixation*
Fractures, Bone / complications,  mortality,  surgery*
Humans
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


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