Department of Orthopedics and Traumatology, Surgical Science (II), Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700020 Iasi, Romania.
Department of Morpho-Functional Sciences (II), Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700020 Iasi, Romania.
Medicina (Kaunas). 2022 Mar 25;58(4):477. doi: 10.3390/medicina58040477.
Background and objectives: Fragility fractures of the pelvis (FFP) are of increasing interest lately, being associated with a loss of mobility and affecting the quality of life. The aim of our study was to investigate the effect of FFP on disability and pain in patients, after one year since injury. Materials and Methods: In the study, we included 76 patients diagnosed with FFP, who were admitted to our trauma department between January 2016 and January 2019, and were above 65 years of age. The Von Korff pain intensity and disability scores were calculated in the hospital at 6 months and after 1 year. Results: Fifty-four patients were female (71%), with an average age of 75.9 ± 7.19 years. Twenty-two patients were male (29%) and had a mean age of 77.22 ± 7.33 years. We did not record significant differences regarding age between the men and women (p > 0.05). Significant improvements appeared between the baseline and the 6 month follow-up; the average pain intensity score at 6 months was 44.94 (SD 21.20) (p < 0.001), and the disability score was 54.30 (SD 21.62). The following average pain intensity and disability scores after 12 months were similar to the values at6 months: 44.48 (SD 21.74) for pain intensity and 52.36 (SD 24.53) for disability. The Von Korff pain score at 6 months and after 1 year depends on gender and on the initial Von Korff pain score (p = 0.02). The Von Korff disability score at 6 months depends on gender, the baseline pain score and the baseline disability score (p = 0.001). Conclusions: our patients reported long-lasting pain that had a severe effect on their daily routines, and they could not return to their normal status prior to injury.
骨盆脆性骨折（FFP）日益受到关注，与活动能力丧失有关，并影响生活质量。我们研究的目的是在受伤后 1 年，研究 FFP 对患者残疾和疼痛的影响。
本研究纳入了 76 名被诊断为 FFP 的患者，他们于 2016 年 1 月至 2019 年 1 月期间入住我院创伤科，年龄均超过 65 岁。在入院时、6 个月和 1 年后，分别使用 VonKorff 疼痛强度和残疾评分进行评估。
54 名患者为女性（71%），平均年龄为 75.9±7.19 岁。22 名患者为男性（29%），平均年龄为 77.22±7.33 岁。男女患者的年龄无显著差异（p＞0.05）。基线和 6 个月随访之间出现了显著改善；6 个月时平均疼痛强度评分为 44.94（SD 21.20）（p＜0.001），残疾评分为 54.30（SD 21.62）。12 个月后的平均疼痛强度和残疾评分与 6 个月时相似：疼痛强度为 44.48（SD 21.74），残疾为 52.36（SD 24.53）。6 个月和 1 年后的 VonKorff 疼痛评分取决于性别和初始 VonKorff 疼痛评分（p=0.02）。6 个月时的 VonKorff 残疾评分取决于性别、基线疼痛评分和基线残疾评分（p=0.001）。
我们的患者报告了长期的疼痛，这对他们的日常生活产生了严重影响，他们无法恢复到受伤前的正常状态。
