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首页> 美国卫生研究院文献>Medicina >Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture
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Comparison of One-Year Functional Outcomes and Quality of Life between Posterior Pelvic Ring Fixation and Combined Anterior-Posterior Pelvic Ring Fixation after Lateral Compression (B2 Type) Pelvic Fracture

机译：侧盆腔固定后一年功能结果和寿命与侧腹骨盆（B2型）骨盆骨折后的前后盆腔固定寿命的比较

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Background and Objectives: The treatment algorithm of lateral compression B2 type pelvic fractures are still under debate. Some authors advocate conservative treatment, while others recommend surgical approach. The clear indications for isolated anterior or posterior ring fixation or combined anterior-posterior pelvic ring fixation of B2 type fractures remain unclear. The aim of this study was to compare the functional outcomes and quality of life after isolated posterior pelvic ring fixation and combined anterior-posterior pelvic ring fixation for the treatment of B2 pelvic fractures. Materials and Methods: Patients aged 18 to 65 years with B2 type pelvic fracture hospitalized in a single trauma centre over a period of 3 years were included in the research. Based on the attending surgeon’s preference, patients were treated with isolated posterior or combined anterior-posterior pelvic fixation. The quality of life and pelvic function were assessed using SF-36 and Majeed questionnaires, respectively. Patients filled in the questionnaires twice: during the first hospitalization (concerning their pre-trauma state—timepoint I) and one-year after the injury (timepoint II). Results: A cohort of 32 patients with B2 type pelvic fracture was enrolled in the analysis: 23 (72%) were female and 9 (28%) were male. The mean age was 35.3 ± 11.9 years. In this cohort 13 (41%) patients underwent isolated posterior pelvic ring fixation (group I) and 19 (59%) patients underwent combined anterior-posterior pelvic ring fixation (group II). No statistically significant differences were observed between the groups in both timepoints concerning Majeed, SF-36 PCS and MCS scores. However, in both groups Majeed and SF-36 PCS scores were statistically significantly lower one year after pelvic fracture compared with pre-trauma state, while SF-36 MCS scores did not differ. Conclusions: No differences were found in quality of life and functional outcomes between isolated posterior pelvic ring fixation and combined anterior-posterior fixation for the treatment of B2 type pelvic fractures.
机译：背景和目的：侧重压缩B2型骨盆骨折的治疗算法仍在辩论中。一些作者倡导保守治疗，而其他作者则推荐手术方法。用于B2型骨折的孤立前或后环固定或组合前后骨盆环固定的清晰适应症仍不清楚。本研究的目的是比较隔离后骨盆环固定后的功能结果和寿命的质量，并组合前后盆腔固定用于治疗B2骨盆骨折。材料和方法：在研究中，在单一创伤中心住院的B2型骨盆骨折18至65岁的患者被纳入3年。根据外科医生的偏好，患者用分离的后骨或组合前后骨盆固定治疗。使用SF-36和Majed调查问卷评估寿命和骨盆功能的质量。患者填写调查问卷两次：在第一次住院期间（关于他们的创伤前国有时期I）和伤害后一年（时间点II）。结果：参加了32例B2型骨盆骨折患者的群组分析：23（72％）是女性，9（28％）是男性。平均年龄为35.3±11.9岁。在该队列13（41％）患者接受隔离后骨盆环固定（I族）和19（59％）患者接受了联合前后骨盆环固定（II组）。在Majeed，SF-36 PC和MCS分数的同步点中的组之间没有观察到统计学上显着的差异。然而，在与创伤前状态相比，Maveed和SF-36 PCS分数在骨盆骨折后一年统计学显着降低，而SF-36 MCS分数没有差异。结论：在隔离后盆腔环固定和治疗B2型骨盆骨折治疗中的生命质量和功能性结果中没有发现差异。

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