Miranda M A, Riemer B L, Butterfield S L, Burke C J
Clin Orthop Relat Res. 1996 Aug(329):152-9.
Eighty patients with pelvic fractures, without hip, spine injuries with neurologic deficits, or traumatic cognitive deficits, 61% treated with external fixators, were reviewed with greater than 5 years of followup. The Short Form-36 General Health Survey, the Iowa pelvic scores, and additional questionnaires concerning return to previous sexual function, occupation, and recreation, and a perception of the worst sequelae of their pelvic trauma were administered. Fractures were classified according to Tile as 25 undisplaced Class A, 31 rotationally displaced Class B, and 24 vertically displaced Class C fractures. Injury severity scores, associated injuries, and mechanisms of injuries were similar across Tile classes. Statistical analysis compared Tile Classes A with B with C and Classes A with B and C. Variations by Tile class among the Short Form-36 survey, Iowa pelvic score, or questionnaire result's were not seen. Approximately 75% of patients returned to their previous sexual function and 80% to their previous occupation. Similarities comparing undisplaced with displaced pelvic fractures question whether reduction of pelvic ring injuries can alter patient long term functional outcomes.
对80例骨盆骨折患者进行了回顾性研究，这些患者无髋部、伴有神经功能缺损的脊柱损伤或创伤性认知缺陷，其中61%接受了外固定治疗，随访时间超过5年。采用简短健康调查问卷36项简表（Short Form-36 General Health Survey）、爱荷华骨盆评分（Iowa pelvic scores），并发放了关于恢复既往性功能、职业和娱乐活动情况以及对骨盆创伤最严重后遗症看法的补充问卷。骨折根据Tile分类为25例无移位的A型、31例旋转移位的B型和24例垂直移位的C型骨折。Tile各类型之间的损伤严重程度评分、相关损伤及损伤机制相似。统计分析比较了Tile A、B、C型以及A与B和C型之间的差异。未发现简短健康调查问卷36项简表、爱荷华骨盆评分或问卷结果在Tile各类型之间存在差异。约75%的患者恢复了既往性功能，80%的患者恢复了既往职业。比较无移位与移位骨盆骨折的相似性对骨盆环损伤的复位能否改变患者长期功能结局提出了质疑。
