Division of Orthopaedic, Oslo University Hospital, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway.
Division of Orthopaedic, Oslo University Hospital, Norway.
Injury. 2022 Nov;53(11):3795-3799. doi: 10.1016/j.injury.2022.08.033. Epub 2022 Aug 18.
Isolated iliac wing fracture is a rare pelvic fracture that is considered benign in the literature. As there is a complete lack of information on function and quality of life in patients with this injury, the primary aim of this study was to evaluate the long-term functional results, and secondly to evaluate the patients' clinical function and fracture healing.
All patients treated in Oslo University Hospital, Ullevaal (OUH-U), the Norwegian National Pelvic Service, in the time period 2006-2016 were included. Nine of 13 eligible patients (69%) were evaluated by the Patient Reported Outcome Measures (PROM); EQ-5D-3L and Majeed Score. For the secondary outcomes, the patients were clinically examined for Range of Motion (ROM) in the hips, pain, muscular function and nerve deficiencies. Finally, the patients underwent X-rays (AP-view and iliac and obturator oblique views).
All patients were injured in high-energy trauma with severe associated injuries. Five patients were operated and four received conservative treatment. At the time of follow-up (median seven years after injury), the mean EQ-5D VAS was 84, and the mean Majeed score was 87. Two out of nine reported moderate level of pain, three reported mild pain, and the rest reported no pain. Six patients were still working, two were retired, and the last one was receiving disability benefit of other reasons than the iliac fracture. One patient had difference in range of external rotation of >10° between the hips, while the rest had no differences in ROM. The follow-up X-rays showed healed fractures in all the patients.
Patients with isolated iliac wing fractures seem to have a good general state of health, scoring high on the PROMs, with minor and insignificant clinical sequela. This original finding is in accordance with the general assumption amongst pelvic surgeons that the injury is a benign one.
孤立性髂骨翼骨折是一种罕见的骨盆骨折，文献中认为其为良性损伤。由于此类损伤患者的功能和生活质量信息完全缺失，本研究的主要目的是评估长期功能结果，其次评估患者的临床功能和骨折愈合情况。
纳入 2006 年至 2016 年期间在奥斯陆大学医院（OUH-U）、挪威国家骨盆服务中心（the Norwegian National Pelvic Service）接受治疗的所有患者。13 名符合条件的患者中有 9 名（69%）接受了患者报告的结果测量（Patient Reported Outcome Measures，PROM）评估，包括 EQ-5D-3L 和 Majeed 评分。为了评估次要结果，对患者进行了髋关节活动范围（Range of Motion，ROM）、疼痛、肌肉功能和神经缺陷的临床检查。最后，患者接受了 X 射线检查（前后位和髂骨及闭孔斜位）。
所有患者均因高能创伤导致严重合并伤而受伤。5 名患者接受了手术治疗，4 名患者接受了保守治疗。在随访时（受伤后平均 7 年），EQ-5D VAS 的平均评分为 84，Majeed 评分的平均评分为 87。9 名患者中有 2 名报告中度疼痛，3 名报告轻度疼痛，其余报告无疼痛。6 名患者仍在工作，2 名已退休，最后 1 名因其他原因而非髂骨骨折而获得残疾津贴。1 名患者髋关节外旋角度相差>10°，其余患者髋关节 ROM 无差异。随访 X 射线显示所有患者骨折均愈合。
孤立性髂骨翼骨折患者的总体健康状况似乎良好，PROM 评分较高，仅有轻微且无显著意义的临床后遗症。这一原始发现与骨盆外科医生的普遍假设一致，即该损伤为良性损伤。
