Monteleone Andrea Stefano, Feltri Pietro, Müller Jochen, Molina Mauro Natale, Filardo Giuseppe, Candrian Christian
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, 6900 Lugano, Switzerland.
Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
Healthcare (Basel). 2023 Jul 4;11(13):1930. doi: 10.3390/healthcare11131930.
Pelvic ring fractures are life-threatening injuries that have a severe impact on patients' lives. The aim of this clinical study was to evaluate the outcome of surgical treatment in terms of Quality of Life (QoL), return to work, functional results and sport activities, and post-operative sexual dysfunction.
A retrospective study with patients retrieved from a Level 1 Trauma Center was performed. Minimum patient follow-up was 12 months: QoL was evaluated with the SF-12 (Short Form Survey) questionnaire, return to work with the Workplace Activity Limitation Survey (WALS), functional outcomes and sport activities with the Harris Hip Score and Tegner activity score, respectively, and sexual function damage with a 0-10 NRS.
Seventy-six patients (41 males and 35 females) were enrolled, with a mean age at surgery of 56.4 years (18-89 years). Overall, their quality of life remained significantly affected, with male patients reporting worse WALS outcomes ( = 0.036), sexual damage ( = 0.001), and SF-12 Bodily Pain ( = 0.046) than females. In particular, 70.7% of men and 45.7% of women reported sexual limitations, and only 53.7% returned to their job, with 35.2% losing their job as a consequence of the pelvic ring disruption.
An important deterioration in general health state, return to work, and sexual function was documented in patients treated surgically for pelvic trauma, especially in male patients. There are disabling secondary sequels at all levels beyond the mere functional scores, and both patients and clinicians should be aware and have the correct expectations.
骨盆环骨折是危及生命的损伤，对患者的生活有严重影响。本临床研究的目的是从生活质量（QoL）、重返工作岗位、功能结果和体育活动以及术后性功能障碍方面评估手术治疗的效果。
对从一级创伤中心检索到的患者进行回顾性研究。患者最短随访时间为12个月：使用SF - 12（简短调查问卷）评估生活质量，使用工作场所活动限制调查（WALS）评估重返工作情况，分别使用Harris髋关节评分和Tegner活动评分评估功能结果和体育活动，使用0 - 10数字评定量表评估性功能损害。
纳入76例患者（41例男性和35例女性），手术时的平均年龄为56.4岁（18 - 89岁）。总体而言，他们的生活质量仍受到显著影响，男性患者在WALS结果（P = 0.036）、性损伤（P = 0.001）和SF - 12身体疼痛（P = 0.046）方面比女性更差。特别是，70.7%的男性和45.7%的女性报告存在性限制，只有53.7%的患者重返工作岗位，35.2%的患者因骨盆环骨折而失去工作。
接受骨盆创伤手术治疗的患者，尤其是男性患者，在总体健康状况、重返工作岗位和性功能方面出现了明显恶化。除了单纯的功能评分外，各个层面都存在致残的继发后遗症，患者和临床医生都应有所认识并抱有正确的期望。
