Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)

Purpose: Aim of this retrospective cohort study was the comparison of the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for fixation of dorsal pelvic ring fractures in terms of clinical outcome, complications, and quality of life.Methods: Thirty-eight patients (23 men, 15 women; mean age...

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Autores principales:	Ricarda Johanna Seemann, Erik Hempel, Gabriele Rußow, Serafeim Tsitsilonis, Ulrich Stöckle, Sven Märdian
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	dorsal pelvic ring fractures transiliac fixator spinopelvic fixation outcome PROMS Surgery RD1-811
Acceso en línea:	https://doaj.org/article/010bde435bc245069f909bae504cf273
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spelling	oai:doaj.org-article:010bde435bc245069f909bae504cf2732021-12-01T12:08:26ZClinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)2296-875X10.3389/fsurg.2021.745051https://doaj.org/article/010bde435bc245069f909bae504cf2732021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.745051/fullhttps://doaj.org/toc/2296-875XPurpose: Aim of this retrospective cohort study was the comparison of the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for fixation of dorsal pelvic ring fractures in terms of clinical outcome, complications, and quality of life.Methods: Thirty-eight patients (23 men, 15 women; mean age 47 ± 19 years) with dorsal pelvic ring fractures (type-C-injuries after AO/OTA) that have been stabilized by either TIFI (group TIFI, n = 22) or SPF (group SPF, n = 16) between May 2015 and December 2018 were retrospectively reviewed. Outcome measurements included demographic data, perioperative parameters, and complications and were obtained from the medical information system. Quality of life was assessed using the German version of the short form 36 (SF-36) and short muskuloskeletal function assessment (SMFA-D). Clinical results were assessed using Merle d'Aubigné-Score, Iowa Pelvic Score, and Majeed Pelvic Score.Results: Both groups show relatively good post-operative results, which has previously been reported. Quality of life was comparable in both groups. Group TIFI was slightly superior regarding complication rates, cutting/suture time, and fluoroscopy time. Group SPF seemed to be superior regarding pain and pelvic scores.Conclusion: None of the methods could demonstrate significant superiority over the other. Management of pelvic injuries remains a highly individual challenge adapted to the individual patients' condition. Nevertheless, if fractures allow for stabilization with TIFI, the use of this method should be taken into consideration as a less invasive and more tissue-conserving approach.Ricarda Johanna SeemannErik HempelGabriele RußowGabriele RußowSerafeim TsitsilonisSerafeim TsitsilonisUlrich StöckleSven MärdianFrontiers Media S.A.articledorsal pelvic ring fracturestransiliac fixatorspinopelvic fixationoutcomePROMSSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dorsal pelvic ring fractures transiliac fixator spinopelvic fixation outcome PROMS Surgery RD1-811
spellingShingle	dorsal pelvic ring fractures transiliac fixator spinopelvic fixation outcome PROMS Surgery RD1-811 Ricarda Johanna Seemann Erik Hempel Gabriele Rußow Gabriele Rußow Serafeim Tsitsilonis Serafeim Tsitsilonis Ulrich Stöckle Sven Märdian Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
description	Purpose: Aim of this retrospective cohort study was the comparison of the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for fixation of dorsal pelvic ring fractures in terms of clinical outcome, complications, and quality of life.Methods: Thirty-eight patients (23 men, 15 women; mean age 47 ± 19 years) with dorsal pelvic ring fractures (type-C-injuries after AO/OTA) that have been stabilized by either TIFI (group TIFI, n = 22) or SPF (group SPF, n = 16) between May 2015 and December 2018 were retrospectively reviewed. Outcome measurements included demographic data, perioperative parameters, and complications and were obtained from the medical information system. Quality of life was assessed using the German version of the short form 36 (SF-36) and short muskuloskeletal function assessment (SMFA-D). Clinical results were assessed using Merle d'Aubigné-Score, Iowa Pelvic Score, and Majeed Pelvic Score.Results: Both groups show relatively good post-operative results, which has previously been reported. Quality of life was comparable in both groups. Group TIFI was slightly superior regarding complication rates, cutting/suture time, and fluoroscopy time. Group SPF seemed to be superior regarding pain and pelvic scores.Conclusion: None of the methods could demonstrate significant superiority over the other. Management of pelvic injuries remains a highly individual challenge adapted to the individual patients' condition. Nevertheless, if fractures allow for stabilization with TIFI, the use of this method should be taken into consideration as a less invasive and more tissue-conserving approach.
format	article
author	Ricarda Johanna Seemann Erik Hempel Gabriele Rußow Gabriele Rußow Serafeim Tsitsilonis Serafeim Tsitsilonis Ulrich Stöckle Sven Märdian
author_facet	Ricarda Johanna Seemann Erik Hempel Gabriele Rußow Gabriele Rußow Serafeim Tsitsilonis Serafeim Tsitsilonis Ulrich Stöckle Sven Märdian
author_sort	Ricarda Johanna Seemann
title	Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
title_short	Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
title_full	Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
title_fullStr	Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
title_full_unstemmed	Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)
title_sort	clinical and patient-related outcome after stabilization of dorsal pelvic ring fractures: a retrospective study comparing transiliac fixator (tifi) and spinopelvic fixation (spf)
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/010bde435bc245069f909bae504cf273
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Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)

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