Functional assessment of operative and non-operative management in major pelvic fracture at Dr. Moewardi Hospital, Surakarta, Indonesia

Abstract

Introduction: Pelvic fractures are responsible for skeletal injuries and soft tissue-related injuries. Pelvic fracture is a disorder of the pelvis bones' structure, including the hip bone, sacrum, and coccyx. The condition will result in stable status if the pelvis can resist weight-bearing loads without the incidence of any displacement. This study aims to determine pelvic fracture outcome, in which operative and non-operative management used the Majeed score to evaluate the functional results.Method: A retrospective case-control study was performed to retrieve data from medical records of patients with pelvic fractures at Dr. Moewardi Hospital Surakarta for the period from January 1st, 2017, until December 31st, 2019. The evaluation of reduction quality was conducted following the scores put forward by Majeed to evaluate the clinical outcomes. Data analyzing used SPSS V.24.0 (IBM Corp). P-value of <0.05 was determined as the statistical significance.Results: In this study, there were 40 samples of pelvic fracture cases; 60% were male, 55% were aged 19 – 40 y.o, motor crash caused 67%, 37.5% were cases of pubic rami fractures. Besides, operative management was 52,5%, while non-operative was 47,5%. Further, operative management's functional outcome was excellent at 66%, good at 19%, fair at 9%, and poor at 8% of the patients. Patients treated with operative management had significantly fewer severe injuries, as rated using the Majeed score than the non-operative group.Conclusion: The results suggest that operative treatment may be a viable option in treating major pelvic fracture as it provides better functional results than non-operative treatment.

Diastasis of Symphysis Pubis In 18-Years Old Female Patient Treated With Conservative Pelvic Binder: Case Report

“…The total score of Majeed Score is 100, which is graded as excellent (>85), good (70-84), fair (55-69), or poor (<55). 13 A study by Meccariello L et al (2022) proposed a new clinical scoring that better evaluates pain, work, sexual possibilities, sexual satisfaction, balance-sitting-walking, and psychological status of pelvic injuries. It can improve preoperative planning and subsequent rehabilitation and psychological support, which affect the quality of life more than other diseases.…”