Artigo Revisado por pares

Pubic Rami Fracture: A Benign Pelvic Injury?

1997; Lippincott Williams & Wilkins; Volume: 11; Issue: 1 Linguagem: Inglês

10.1097/00005131-199701000-00003

ISSN

1531-2291

Autores

Kenneth J. Koval, Gina B. Aharonoff, M. C. Schwartz, Scott Alpert, Gila Cohen, Ashgan McShinawy, Joseph D. Zuckerman,

Tópico(s)

Pregnancy-related medical research

Resumo

Objective: To present a consecutive series of older patients with pubic rami fractures and evaluate their long term functional outcome. Study Design: Retrospective. Methods: Sixty-three consecutive community-dwelling, ambulatory patients who sustained a pubic rami fracture and were treated at one hospital were reviewed. Fifty-two of sixty-three patients (83%) had radiographic evidence of pubic rami fracture at initial presentation; in the remaining eleven patients, the diagnosis of pubic rami fracture was made after additional imaging studies. Sixty patients (95%) required hospitalization for pain control and progressive mobilization. Results: The hospital length of stay for the sixty admitted patients averaged fourteen days; patients who had three or more associated medical comorbidities or required use of a cane or walker for ambulation prior to fracture were more likely to have been hospitalized greater than two weeks. Thirty-eight patients were available for one year minimum follow-up; thirty-five of thirty-eight patients (92%) were living at home, 84% had no or mild complaints of hip/groin pain, 92% had returned to their prefracture ambulatory status, and 95% had returned to their prefracture function in activities of daily living. Conclusions: 1) Elderly patients with pubic rami fractures utilize substantial healthcare resources based upon length of stay and need for home care services; and 2) those patients who survive have a good prognosis with regard to long term pain relief and functional outcome.

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