Immediate full weight bearing after pelvic percutaneous fixation by screw for simple acetabular and pelvic ring fractures in patients older ... View Full Text


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Article Info

DATE

2022-07-09

AUTHORS

Rayane Benhenneda, Hoel Letissier, Frédéric Dubrana, Rémi Di Francia

ABSTRACT

PurposeThe aim of this study was to assess the walking and weight-bearing abilities of patients older than 65 years with a simple acetabular or pelvic ring fracture treated with pelvic percutaneous screwing (PPS).MethodsThis study included 27 patients. This was a retrospective, single-centre observational study conducted in a level 1 trauma centre from September 2019 to April 2021. All patients older than 65 years who underwent PPS for an acetabular or pelvic ring fracture were included.ResultsAll patients were able to walk and bear weight at one day after PPS. The mean walking distance increased from 19.4 m the day after the operation to 59.8 m, 497.8 m, and 1402 m at discharge, three and six weeks after the operation, respectively. The average pain visual analog scale scores before and after the operation were 4.1 (range, 3.6–5.1; standard deviation [SD], 0.63) and 0.9 (range, 0.5–1.2; SD, 0.25), respectively (p < .0001). The average daily dose of paracetamol used before and after the operation was 2.2 (range, 1.7–3.1; SD, 0.59) g/d and 1.3 (range, 0.6–1.7; SD, 0.40) g/d, respectively (p = .0232). The average daily dose of morphine used before and after the operation was 5.7 (range, 4.7–6.7; SD, 0.76) mg/d and 1.6 (range, 0.5–2.9; SD, 1.09) mg/d, respectively (p = .0001).ConclusionAll included patients were able to walk at one day after PPS. PPS was associated with reduced pain as well as a reduction in paracetamol and morphine use. More... »

PAGES

2413-2421

References to SciGraph publications

  • 2011-07-30. Beckenringfrakturen im Alter in DER UNFALLCHIRURG
  • 2007-06-13. Percutaneous antegrade screwing for anterior column fracture of acetabulum with fluoroscopic-based computerized navigation in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2019-06-10. Operative versus non-operative treatment of displaced acetabular fractures in elderly patients in AGING CLINICAL AND EXPERIMENTAL RESEARCH
  • 2002-11-12. Nonoperative treatment of hip fractures in INTERNATIONAL ORTHOPAEDICS
  • 1993. Fractures of the Acetabulum in NONE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00264-022-05504-z

    DOI

    http://dx.doi.org/10.1007/s00264-022-05504-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1149357777

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35809129


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