Schiltenwolf Anna L, Histing Tina, Menger Maximilian M, Audretsch Christof K, Laux Florian, Kueper Markus A, Herath Steven C
Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Tuebingen, Germany.
Health Care Center and Rehabilitation Clinic Swabian Alb, Bad Urach, Germany.
J Rehabil Med Clin Commun. 2025 Sep 2;8:44156. doi: 10.2340/jrm-cc.v8.44156. eCollection 2025.
Acetabular fractures are among the most severe injuries in trauma surgery. In younger patients, they typically result from high-energy trauma and are often associated with polytrauma. Treatment complexity and rehabilitation outcomes are influenced by overall injury severity. This study aimed to evaluate return to work (RTW) after acetabular fracture in relation to the overall injury severity score (ISS).
DESIGN/SUBJECTS/PATIENTS: A retrospective study included 22 patients treated for acetabular fractures at a Level I Trauma Centre spanning a period from January 2009 - December 2020.
Patients completed a questionnaire assessing work-related factors and workload before (PRE) and after (POST) trauma (median [MD] = 126.4 ± 46.4 months POST). Based on ISS, patients were categorized as < 16 = "no polytrauma" ( = 8) and ≥ 16 = "polytrauma" ( = 14).
The RTW rate was 75% in both groups. However, descriptively the median workload reduction was greater in the "polytrauma" group (-50%) compared to the "no polytrauma" group (-33.3%). A shift toward sedentary work was seen in both groups, more prominently in the "polytrauma" subgroup (+40%) compared to the "no polytrauma" group (+11.4%).
Possible workload was reduced after acetabular fracture. Despite similar RTW rates, polytrauma patients descriptively returned to less physically demanding work. Thus, ISS significantly predicts the outcome of the rehabilitations process after acetabular fractures.
髋臼骨折是创伤外科中最严重的损伤之一。在年轻患者中，髋臼骨折通常由高能创伤导致，且常伴有多发伤。治疗的复杂性和康复结果受整体损伤严重程度的影响。本研究旨在评估髋臼骨折后与整体损伤严重程度评分（ISS）相关的重返工作岗位（RTW）情况。
设计/研究对象/患者：一项回顾性研究纳入了2009年1月至2020年12月期间在一级创伤中心接受髋臼骨折治疗的22例患者。
患者完成了一份问卷，评估创伤前（PRE）和创伤后（POST）（POST的中位数[MD]=126.4±46.4个月）与工作相关的因素和工作量。根据ISS，患者被分为<16="无多发伤"（=8）和≥16="多发伤"（=14）。
两组的RTW率均为75%。然而，从描述性角度来看，“多发伤”组（-50%）的工作量中位数减少幅度大于“无多发伤”组（-33.3%）。两组均出现了向久坐工作的转变，“多发伤”亚组（+40%）比“无多发伤”组（+11.4%）更为明显。
髋臼骨折后可能的工作量减少。尽管RTW率相似，但从描述性角度来看，多发伤患者重返的是体力要求较低的工作。因此，ISS显著预测髋臼骨折后康复过程的结果。
