BACKGROUND: Traumatic disruption of the pelvic ring is a significant cause of life-threatening @entity548 . For those @entity1 who survive the initial injury, these @entity174 are associated with long periods of immobilization and intense rehabilitation. There is little published information available regarding long-term functional outcomes in these @entity1 . This study evaluated the impact of severe @entity174 on those long-term outcomes. METHODS: All @entity1 with severe @entity174 over an 18-year period were identified. Severe @entity174 were defined as those with vascular disruption, open-book component with symphysis @entity6877 , or sacroiliac disruption with vertical shear. Functional outcome was measured using the Boston University Activity Measure for Post-Acute Care to assess mobility (normal, >84) and daily activity (normal, >84). Multiple linear regression analysis was used to identify predictors of functional outcome after severe @entity174 . RESULTS: From January 1996 to September 2014, 401 @entity1 were identified: 240 (60%) @entity1 and 161 (40%) @entity1 . Overall mortality was 29%. Of the 285 survivors, follow-up was obtained in 145 @entity1 (51%). Mean follow-up was 8.3 years, with a maximum of 20 years. Mean age and Injury Severity Score were 53 years and 27, respectively. Mean Activity Measure for Post-Acute Care scores for mobility and daily activity were 55 and 63, respectively; both signifying significant impairment when compared with normal. Multiple linear regression analysis using age, traumatic @entity1545 , transfusions, Injury Severity Score, ventilator days, presence of associated @entity174 , and time to operative pelvic fixation identified time to pelvic fixation as the only predictor of decreased mobility (b = -0.74, p = 0.04) and activity (b = -0.21, p = 0.03) following severe @entity174 . CONCLUSIONS: Prolonged time to operative pelvic fixation led to worse long-term functional outcomes in @entity1 with severe pelvic ring disruption. Early fixation of the pelvic ring is the only potentially modifiable risk factor for decreased functional outcomes in @entity1 with severe @entity174 . LEVEL OF EVIDENCE: Therapeutic study, level IV.

Impact of early operative pelvic fixation on long-term self-reported outcome following severe XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity1545 :: ('MESH:D020214', 'Disease') :: ['brain injury'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'pelvic fracture', 'pelvic fractures', 'lower-extremity fractures'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity6877 :: ('MESH:D046548', 'Disease') :: ['diastasis']
@entity174 :: (MESH:D050723,Disease) :: ['pelvic fracture']
