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- Title
Lateral compression type B 2-1 pelvic ring fractures in young patients do not require surgery.
- Authors
Höch, A.; Schneider, I.; Todd, J.; Josten, C.; Böhme, J.
- Abstract
Purpose: According to Young and Burgess, type B 2-1 pelvic fractures are a type of lateral compression fracture (LC-1) and are the most common pelvic injury at all ages. Although they are considered unstable in rotation and despite biomechanical recommendations for anterior stabilization, most authors recommend non-operative treatment. However, studies comparing outcomes and complications regarding operative versus non-operative treatment are still scarce.Methods: Seventy-one patients aged under 65 years with a type B 2-1 pelvic fracture were treated between 2006 and 2011. Patients in Group I (<italic>n</italic> = 35) were treated non-operatively and patients in Group II (<italic>n</italic> = 36) were treated operatively. Postoperative complications, clinical course, and follow-up (VAS for Pain, SF 36, EQ-5D) of at least 1 year postoperatively were evaluated.Results: Our data show that operatively treated patients had a significantly higher complication rate. Preoperatively, the only significant difference between the non-operative and operative groups was the amount of anterior fracture dislocation and the presence of an isolated pelvic ring fracture. In the postoperative follow-up, no significant differences were found regarding pain or quality of life.Conclusion: Type B 2-1 pelvic ring fractures in young patients should be treated non-operatively.
- Subjects
TREATMENT of fractures; TREATMENT effectiveness; COMPARATIVE studies; FRACTURE fixation; BONE fractures; PELVIC fractures; QUALITY of life; SACRUM injuries; TIME; RETROSPECTIVE studies; COMPRESSION fractures; THERAPEUTICS
- Publication
European Journal of Trauma & Emergency Surgery, 2018, Vol 44, Issue 2, p171
- ISSN
1863-9933
- Publication type
Article
- DOI
10.1007/s00068-016-0676-3