Surgical Treatment for Unstable Pelvic and Acetabular Fractures at Chiang Rai Prachanukroh Hospital: Over 2-years of Clinical Results
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Abstract
Background: Surgical treatment of unstable pelvic fractures and acetabular fractures can decrease the patient morbidity and disability. In Thailand, the studies about the intermediate outcomes of this issue have been limited.
Objective: To determine the intermediate surgical outcomes for unstable pelvic and acetabular fractures at Chiang Rai Prachanukroh Hospital.
Material and method: A descriptive questionnaires–based study was carried out in patients with unstable pelvic and acetabular fractures, who underwent surgical treatment between January 2014 and May 2017. Demographic and radiographic data were collected from electronic medical records, and a postoperative survey was achieved by the SF-36 questionnaire Thai version 2.
Results: Within the pelvic fractures group, there were 5 men and 5 women with a mean age of 40.8 ± 17.5 years old (range, 19-70). Fractures were classified as LC type in 6 cases and APC type in 4 cases. The average follow-up period was 47.7 ± 10.3 months (range, 24-62). In the acetabular fractures group, there were 16 men and 6 women with a mean age of 35.5 ± 13.9 years old (range, 15-68). Fractures were classified as type A in 5, B in 14, and C in 3 cases. The average follow-up period was 47.0 ± 10.3 months (range, 24-66). Postoperatively, the mean SF-36 scores were comparable in both groups of fractures. The highest scores were found in the domain of role limitations due to emotional problems, and the lowest scores were found in the domain of energy and vitality. Seven of 8 domains demonstrated lower scores than those of the normal Thai population.
Conclusion: The patients with unstable pelvic and acetabular fractures had comparable quality of life, determined by SF-36 scores. The scores in surgically treated patients were lower than in the normal population.
Article Details
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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