Chronic Pain and Disability After Pelvic and Acetabular Fractures—Assessment With the Mainz Pain Staging System

Gerbershagen, Hans J.; Dagtekin, Oguzhan; Isenberg, J.; Martens, Niels; Özgür, E.; Krep, Henning; Sabatowski, Rainer; Petzke, Frank

doi:10.1097/ta.0b013e3181bbd703

Cited by 56 publications

(54 citation statements)

References 27 publications

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“…Pain characteristics are dependent upon the degree of instability of the pelvic ring injury, as well as on the presence of associated extra-and intrapelvic lesions. Gerbershagen et al [32] examined 49 patients 52 months after pelvic fracture. Patients with A-, B-, and C-type fractures had chronic posttraumatic pain in 38, 67, and 90%, respectively.…”

Section: Pain and Life Qualitymentioning

confidence: 99%

Outcome in Pelvic Ring Fractures

Hessmann¹,

Rickert²,

Hofmann

et al. 2010

Eur J Trauma

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Pelvic ring fractures represent a negative prognostic factor for what concerns morbidity and mortality of a polytraumatized patient. The subjective and functional prognosis of a pelvic ring fracture is dependent upon its degree of instability. Associated severe peripelvic soft tissue injuries and neurovascular lesions (complex pelvic trauma) affect outcome negatively. Although high rates of anatomic reduction and stable fixation have been achieved in recent years, only 60% of patients have an excellent or good clinical result. Sequelae of neurologic lesions and genitorurinary injuries are typically associated with considerable rates of persistent functional impairment. Chronic pain and disability are often very difficult to treat. Health-related quality of life and life satisfaction after pelvic ring fractures caused by high-energy trauma is substantially lower when compared to a reference population.

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Section: Pain and Life Qualitymentioning

confidence: 99%

Outcome in Pelvic Ring Fractures

Hessmann¹,

Rickert²,

Hofmann

et al. 2010

Eur J Trauma

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“…The German polytrauma and pelvis research group evaluated the results of pelvic trauma [1], and another German group evaluated chronic pain and disability after pelvic fractures [31]. They invariably conclude that severe open pelvic injuries are associated with a high mortality and morbidity.…”

Section: Late Resultsmentioning

confidence: 99%

Pelvic Fractures: Soft Tissue Trauma

Leenen

2010

Eur J Trauma

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“…18 Other authors confirm the high incidence of chronic pain after acetabular fracture. 10 These findings may partly explain the extended use and prescription of opioids several months after fracture.…”

Section: Discussionmentioning

confidence: 97%

“…acetabular fractures is a major problem with a high incidence. 10,18 Therefore, we examined the long-term opioid analgesic use among patients with acetabular fractures. Using data from the National Pharmacy Register we determined the prevalence of long term opioid consumption and the development of tolerance as indicated by increased doses over time.…”

Section: Introductionmentioning

confidence: 99%