Fracture
Conditions
Keywords
Pelvic, Treatment Outcome
Brief summary
Since May 2010 the Department of Trauma, Basel University Hospital has performed surgical stabilisation of the posterior pelvic ring on 55 patients. These patients have not received a structured follow up examination or evaluation of outcome after surgery.
Detailed description
Functional outcome of elderly patients with surgical treatment of low energy pelvic ring fractures.
Interventions
PROCEDUREOutcome after surgery
Functional outcome after surgical treatment of pelvic ring fractures Measurements: TUG-test score, ADLs index, maximal pain (VAS 1-10) at rest and experienced during TUG-test. One-year mortality, signs of healing, dislocation or other complications on anterior-posterior radiographs of the pelvis, living situation before and after the injury (at home/institutional placement)
Sponsors
University Hospital, Basel, Switzerland
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Elderly patients (age ≥55y ears) of any ethnic / sociodemographic background * Pelvic ring fracture after low energy trauma affecting the posterior ring or both (posterior and anterior ring) * Surgical stabilisation of the pelvic ring at Basel University Hospital between May 2010 and December 2014 * Ambulatory before surgery * Informed consent for study participation by the patient or legal representatives
Exclusion criteria
* Refusal of consent by the patient or legal representatives to participate in the study * Fractures within the last 3 months before follow-up * Suspicion of a pathological fracture in the context of known or unknown malignancy * Symptomatic low back pain with morphological changes, i.e. intervertebral disc displacement, neoplasm metastasis in the axial skeleton, spinal stenosis, vertebral fracture, spondylarthropathy etc. * Pre-trauma mobility status that precludes achieving a post-trauma mobility status enabling the patient to perform the timed up and go test (e.g. patient in a wheel chair)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TUG-Test through study completion, an average of 1 year | through study completion, an average of 1 year | TUG test - according test description |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| activity of daily living (ADL) through study completion, an average of 1 year | through study completion, an average of 1 year | ADL test - according test description |
| Pain test through study completion, an average of 1 year | through study completion, an average of 1 year | Maximal pain (VAS 1-10) experienced during TUG-test and at rest at the day of follow up |
| Living Situation through study completion, an average of 1 year | through study completion, an average of 1 year | Living situation before and after the injury (at home/institutional placement) according test procedure |
| 1-year mortality | one year after surgery | — |
Countries
Switzerland
Outcome results
None listed