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 journalArticlepeer-review

141 Scopus citations

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 37.87c 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 - Injury, Infection and Critical Care
Volume31
Issue number1
DOIs
StatePublished - Jan 1991

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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