Improved outcome with early fixation of skeletally unstable pelvic fractures

B. A. Latenser, L. M. Gentilello, A. A. Tarver, J. S. Thalgott, J. W. Batdorf

Research output: Contribution to journalArticle

134 Citations (Scopus)

Abstract

Thirty-seven consecutive patients with unstable pelvic fractures were divided into two groups: Group 1 (July 1981 to December 1984; n = 18), when early fixation was not routinely used, and Group 2 (January 1985 to March 1988; n = 19), when early fixation was performed unless contraindicated. Hospital stay decreased by 37.8% in Group 2 (p = 0.04). Of Group 1 patients, 60% were disabled for at least 6 months versus 15.7% in Group 2 (p = 0.001), and 45% were discharged to a rehabilitation facility versus 26.4% in Group 2. Group 1 had more complications, 1.3 per patient, versus 1.0. Patients in Group 2 (undergoing early fixation) required 27.2% fewer units of blood than those in Group 1 in whom fracture surgery was delayed. Survival was better in Group 2, 100% versus 83.3% (p = 0.06). Early pelvic fracture fixation reduces hospital stay, long-term disability, and may result in fewer complications, decreased blood loss, and better survival.

Original languageEnglish (US)
Pages (from-to)28-31
Number of pages4
JournalJournal of Trauma
Volume31
Issue number1
StatePublished - 1991

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Length of Stay
Fracture Fixation
Survival
Rehabilitation

ASJC Scopus subject areas

  • Surgery

Cite this

Latenser, B. A., Gentilello, L. M., Tarver, A. A., Thalgott, J. S., & Batdorf, J. W. (1991). Improved outcome with early fixation of skeletally unstable pelvic fractures. Journal of Trauma, 31(1), 28-31.

Improved outcome with early fixation of skeletally unstable pelvic fractures. / Latenser, B. A.; Gentilello, L. M.; Tarver, A. A.; Thalgott, J. S.; Batdorf, J. W.

In: Journal of Trauma, Vol. 31, No. 1, 1991, p. 28-31.

Research output: Contribution to journalArticle

Latenser, BA, Gentilello, LM, Tarver, AA, Thalgott, JS & Batdorf, JW 1991, 'Improved outcome with early fixation of skeletally unstable pelvic fractures', Journal of Trauma, vol. 31, no. 1, pp. 28-31.
Latenser, B. A. ; Gentilello, L. M. ; Tarver, A. A. ; Thalgott, J. S. ; Batdorf, J. W. / Improved outcome with early fixation of skeletally unstable pelvic fractures. In: Journal of Trauma. 1991 ; Vol. 31, No. 1. pp. 28-31.
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