Tiziani Simon, Scherer Julian, Saurenmann Patrick, Halvachizadeh Sasha, Pfeifer Roman, Sprengel Kai, Pape Hans-Christoph, Osterhoff Georg
University Hospital of Zurich, Zurich, Switzerland.
Department of Trauma Surgery and Orthopaedics, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Arch Orthop Trauma Surg. 2025 Jul 18;145(1):378. doi: 10.1007/s00402-025-05992-9.
Pelvic ring injuries are rare injuries that frequently are associated with prolonged recovery and low return-to-work rates. Since radiological outcome not always correlates with overall patient-reported outcome, the assessement of functional outcome has become a focus of follow up. The Timed-Up and Go test (TUG) would be a simple way to quantify patient mobility, but has not yet been adequately validated in a non-geriatric patient population.
Consecutive patients younger than 70 years who underwent functional outcome testing as routine follow-up at 6 weeks, 12 weeks, or 6 months after pelvic ring injuries between 11/2017 and 10/2018 were included in this study. In addition to a TUG test, all patients completed a specific functional outcome score for pelvic ring injuries (Majeed-Score) and a general health score (Eq. 5D-3 L).
Forty patients (mean age 40 years, range 18 to 68 years, 24 female), ) of which 28 were treated operatively were included in the study. The mean Majeed-Score was 75.0 (SD 23.3, range 20 to 100) and the mean Eq. 5D-3 L-VAS was 69.9 (SD 22.5, range 5 to 100). The mean time for TUG was 7.8 s. (SD 4.1, range 2 to 22.). TUG time strongly correlated with the Majeed-Score (r= - 0.633, p = 0.0001) and with the mobility portion of the Majeed-Score (r= - 0.524, p = 0.001). For a threshold value of 10 s in the TUG test, the ROC analysis revealed a sensitivity of 91% and a specificity of 82% in predicting an impaired Majeed score of below 60 (AUC 0.935).
The TUG correlated strongly with the Majeed score and the mobility part of the Majeed-Score indicating that achieved values reflect the subjective accounts provided by patients. The TUG can be used as a quick screening in non-geriatric patients with pelvic ring injuries to quantify mobility. A TUG longer than 10 s indicates an impaired Majeed score. For academic purposes, however, it should be accompanied by the Majeed-Score.
骨盆环损伤较为罕见，常伴有恢复时间延长和重返工作岗位率低的情况。由于影像学结果并不总是与患者总体报告的结果相关，功能结果的评估已成为随访的重点。定时起立行走测试（TUG）可能是量化患者活动能力的一种简单方法，但尚未在非老年患者群体中得到充分验证。
纳入2017年11月至2018年10月间因骨盆环损伤在6周、12周或6个月时接受功能结果测试作为常规随访的70岁以下连续患者。除TUG测试外，所有患者还完成了骨盆环损伤的特定功能结果评分（马吉德评分）和一般健康评分（EQ-5D-3L）。
40例患者（平均年龄40岁，范围18至68岁，24例女性）纳入研究，其中28例接受了手术治疗。马吉德评分的平均值为75.0（标准差23.3，范围20至100），EQ-5D-3L视觉模拟量表（VAS）的平均值为69.9（标准差22.5，范围5至100）。TUG的平均时间为7.8秒（标准差4.1，范围2至22秒）。TUG时间与马吉德评分（r = -0.633，p = 0.0001）以及马吉德评分的活动部分（r = -0.524，p = 0.001）密切相关。对于TUG测试中10秒的阈值，ROC分析显示在预测马吉德评分低于60分（AUC 0.935）时，灵敏度为91%，特异度为82%。
TUG与马吉德评分以及马吉德评分的活动部分密切相关，表明所获得的值反映了患者提供的主观描述。TUG可用于对非老年骨盆环损伤患者进行快速筛查以量化活动能力。TUG超过10秒表明马吉德评分受损。然而，出于学术目的，它应与马吉德评分一起使用。
