Die Bedeutung der Computertomographie für Diagnostik und Therapie der Frakturen des hinteren Beckenringes und des Hüftgelenkes

Rommens, P; Wissing, H.; Serdarevic, M

doi:10.1007/bf02585829

Cited by 11 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The real extent of the pelvic injury is then underestimated. With a pelvic CT, fractures and dislocations of the posterior pelvis can be analyzed in more detail [ 5 ]. Consequently, a pelvic CT is indispensable for complete evaluation of an FFP.…”

Section: Introductionmentioning

confidence: 99%

Isolated Pubic Ramus Fractures Are Serious Adverse Events for Elderly Persons: An Observational Study on 138 Patients with Fragility Fractures of the Pelvis Type I (FFP Type I)

Rommens

Hopf

Herteleer

et al. 2020

JCM

View full text Add to dashboard Cite

Background: Fractures of the pubic ramus without involvement of the posterior pelvic ring represent a minority of fragility fractures of the pelvis (FFP). The natural history of patients suffering this FFP Type I has not been described so far. Material and methods: All patients, who were admitted with isolated pubic ramus fractures between 2007 and mid-2018, have been reviewed. Epidemiologic data, comorbidities, in-hospital complications, and one-year mortality were recorded. Of all surviving patients, living condition before the fracture and at follow-up was noted. Mobility was scored with the Parker Mobility Score, quality of life with the European Quality of Life 5 Dimensions 3 Level (EQ-5D-3L), subjective sensation of pain with the Numeric Rating Scale (NRS). Results: A consecutive series of 138 patients was included in the study. There were 117 women (84.8%) and 21 men (15.2%). Mean age was 80.6 years (SD 8.6 years). 89.1% of patients presented with comorbidities, 81.2% of them had cardiovascular diseases. Five patients (4%) died during hospital-stay. Median in-hospital stay was eight days (2–45 days). There were in-hospital complications in 16.5%, urinary tract infections, and pneumonia being the most frequent. One-year mortality was 16.7%. Reference values for the normal population of the same age are 5.9% for men and 4.0% for women. One-year mortality rate was 22.2% in the patient group of 80 years or above and 8.8% in the patient group below the age of 80. The rate of surviving patients living at home with or without assistance dropped from 80.5% to 65.3%. The median EQ-5D-Index Value was 0.62 (0.04–1; IQR 0.5–0.78). Reference value for the normal population is 0.78. Average PMS was 4 and NRS 3. Within a two-year period, additional fragility fractures occurred in 21.2% and antiresorptive medication was taken by only 45.2% of patients. Conclusion. Pubic ramus fractures without involvement of the posterior pelvis (FFP Type I) are serious adverse events for elderly persons. During follow-up, there is an excess mortality, a loss of independence, a restricted mobility, and a decreased quality of life. Pubic ramus fractures are indicators for the need to optimize the patient’s general condition.

show abstract

Section: Introductionmentioning

confidence: 99%

Isolated Pubic Ramus Fractures Are Serious Adverse Events for Elderly Persons: An Observational Study on 138 Patients with Fragility Fractures of the Pelvis Type I (FFP Type I)

Rommens

Hopf

Herteleer

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…In previous studies conventional radiography has been found to be inferior to CT (1)(2)(3)(4)(5)(6)9,II,(13)(14)(15)(16)(17). Especially abnormalities of the posterior pelvic ring, the extent of acetabular fractures and the presence of intraarticular hip fragments were often missed by analyses of conventional radiographs.…”

Section: Discussionmentioning

confidence: 96%

“…Conventional radiography is usually the most rapidly available modality, but often an additional CT examination is warranted. Many reports have been published comparing these 2 methods (1)(2)(3)(4)(5)9,(13)(14)(15)(16)(17), but no investigation has compared the ability of these 2 methods to classify the injuries and identify fractures in each individual part of the pelvis. We therefore designed a blind study to compare the findings by conventional radiography and CT in order to determine when CT provides additional information, and which lesions are best evaluated by CT and which by conventional radiography.…”

mentioning

confidence: 99%

Pelvic Fractures

Albrechtsen¹,

Hede²,

Jurik³

1994

Acta Radiol

View full text Add to dashboard Cite

Sixty-two patients with pelvic fractures were evaluated by conventional radiography and CT. A correct pathoanatomic classification of the fractures was most often obtained by conventional radiography, but CT added information regarding acetabular fractures and involvement of the posterior part of the pelvic ring. Besides, CT was essential in the detection of intraarticular fragments and lesions of the femoral head. Classification of pelvic ring fractures by the pattern of traumatic forces was easily obtainable by conventional radiography, but often difficult to achieve by CT.

show abstract

“…Da Hüftpfannenbrüche nur in einigen wenigen Ausnahmefällen primär operativ versorgt werden, wird die Entscheidung auf der Basis suffizienter radiologischer und fallweiser CT-Untersuchungen nicht unter Zeitdruck fallen müssen und dadurch erleichtert [2,3,6,12,16,17,21].…”

Section: Schlüsselwörterunclassified

Acetabular fractures: indication, technique and results of conservative treatment

1997

View full text Add to dashboard Cite

Despite the great number of publications during the last 10 years concerning the indication, technique and results of operative treatment of acetabular fractures, conservative treatment still has an important role when considering the therapeutic possibilities. Because of the modern techniques of radiological imaging and improvement of diagnostic facilities, a more defined indication for treatment becomes possible. Conventional X-rays, completed by special projections like the Ala and Obturator view, and a CT scan allow determination of the fracture type (the Letournel/Judet classification or the AO classification). The most suitable treatment can then be adapted to the individual circumstances of the patient, i. e., age, general condition and overall severity of traumatic impairment. Determination of the intact part of the weight-bearing dome is important in selecting the most adequate therapeutic procedure. The larger the intact roof arc, the better the prognosis. Together with the X-ray controls following axial and facultative lateral extentions, the indication for conservative treatment can be confirmed. Early active motion of the injured limb, followed by walking exercises with partial weight-bearing, are important aspects of nonoperative treatment. Conservative treatment is recommended in non-displaced fractures or in fractures with little displacement, transverse fractures of the lower region or severely comminuted acetabular fractures with no possibility of reconstruction. Our clinical and radiological follow-up of 97 patients with acetabular fractures from the years 1981-1990 showed that the majority were treated conservatively (approx. 70 %). The functional result after an average observation period of more than 70 months was good or excellent (based on the Merle d'Aubigné score). We feel it is important to look at operative and conservative treatment of acetabular fractures as two complementary non-competitive therapeutic methods. The choice of treatment should be based on an exact diagnosis considering fracture type, the individual circumstances of the patient, and application of the necessary diagnostic facilities. Conservative treatment can lead to excellent long-term results.

show abstract

Die Bedeutung der Computertomographie für Diagnostik und Therapie der Frakturen des hinteren Beckenringes und des Hüftgelenkes

Cited by 11 publications

References 5 publications

Isolated Pubic Ramus Fractures Are Serious Adverse Events for Elderly Persons: An Observational Study on 138 Patients with Fragility Fractures of the Pelvis Type I (FFP Type I)

Isolated Pubic Ramus Fractures Are Serious Adverse Events for Elderly Persons: An Observational Study on 138 Patients with Fragility Fractures of the Pelvis Type I (FFP Type I)

Pelvic Fractures

Acetabular fractures: indication, technique and results of conservative treatment

Contact Info

Product

Resources

About