@article{ref1,
title="Functional and return to work outcomes following major trauma involving severe pelvic ring fracture",
journal="ANZ journal of surgery",
year="2014",
author="Gabbe, Belinda J. and Hofstee, Dirk-Jan and Esser, Max and Bucknill, Andrew and Russ, Matthias K. and Cameron, Peter A. and Handley, Christopher and de Steiger, Richard N.",
volume="85",
number="10",
pages="749-754",
abstract="BACKGROUND: There is limited evidence describing the long-term outcomes of severe pelvic ring fractures. The aim of this study was to describe the longer term independent living and return to work outcomes following severe pelvic ring fracture. <br><br>METHODS: Adult survivors to discharge from two major trauma centres with AO/Tile type B and C fractures were followed up at 6, 12 and 24-months post-injury to capture functional (Glasgow Outcome Scale-Extended [GOS-E]) and return to work data. Multivariable, mixed effects models were used to identify predictors of outcome. <br><br>RESULTS: A total of 111 of 114 (97%) cases were followed up. The mean (SD) age of participants was 41.9 (18.9) years, 77% were male, 81% were transport-related and 90% were multi-trauma patients. Further, 11% were managed conservatively, 10% with external fixation and 79% with open reduction and internal fixation. At 24 months, 77% were living independently (GOS-E > 4) and 59% had returned to work. Higher Injury Severity Scores (ISS) were associated with lower risk-adjusted odds of return to work (P = 0.04) and independent living (P = 0.06). Post-operative infection was associated with living independently (P = 0.02). <br><br>CONCLUSION: Despite the severity of the injuries sustained, 77% of severe pelvic ring fracture patients were living independently and 59% had returned to work, 2-years post-injury. Fracture type and management were not key predictors of outcome. Large-scale multi-centre studies are needed to fully understand the burden of severe pelvic ring fractures and to guide clinical management.<p /><p>Language: en</p>",
language="en",
issn="1445-1433",
doi="10.1111/ans.12700",
url="http://dx.doi.org/10.1111/ans.12700"
}