Sarup S Sridharan1,2, Daniel You1,2, Brett Ponich3, David Parsons1,2, Prism Schneider1,2,4. 1. Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, Canada. 2. McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, Calgary, Canada. 3. Cumming School of Medicine, University of Calgary, Calgary, Canada. 4. Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Abstract
BACKGROUND: Pelvic fractures represent a small proportion of all paediatric fractures, but are likely to be associated with a high-energy mechanism, multiple injuries, and significant morbidity and mortality. Operative fixation of unstable pelvic fractures is accepted. However, there remains a paucity of data on functional outcomes and complications following pelvic fractures in the skeletally immature. METHODS: A PRISMA-compliant systematic review was performed, searching Medline, Embase, and Cochrane central review. The primary outcome was functional outcome after pelvic fractures in the paediatric population following operative or non-operative treatment. Secondary outcomes included mechanism of injury, associated injuries, mortality rate, and method of surgical fixation if required. Where possible, weighted totals of the data set were performed. RESULTS: In total, 23 studies were included in this review. Only eight studies reported functional outcomes, with limb length discrepancy and limp being the most common complication. Only 8.8% of all pelvic fractures underwent surgical fixation. Motor vehicle collision was the most common cause of injury, and extremity fracture was the most common associated injury. CONCLUSION: Paediatric pelvic fractures are caused by high-energy mechanisms and have significant morbidity and mortality. There remains a paucity of information on functional outcomes after these injuries.
BACKGROUND: Pelvic fractures represent a small proportion of all paediatric fractures, but are likely to be associated with a high-energy mechanism, multiple injuries, and significant morbidity and mortality. Operative fixation of unstable pelvic fractures is accepted. However, there remains a paucity of data on functional outcomes and complications following pelvic fractures in the skeletally immature. METHODS: A PRISMA-compliant systematic review was performed, searching Medline, Embase, and Cochrane central review. The primary outcome was functional outcome after pelvic fractures in the paediatric population following operative or non-operative treatment. Secondary outcomes included mechanism of injury, associated injuries, mortality rate, and method of surgical fixation if required. Where possible, weighted totals of the data set were performed. RESULTS: In total, 23 studies were included in this review. Only eight studies reported functional outcomes, with limb length discrepancy and limp being the most common complication. Only 8.8% of all pelvic fractures underwent surgical fixation. Motor vehicle collision was the most common cause of injury, and extremity fracture was the most common associated injury. CONCLUSION: Paediatric pelvic fractures are caused by high-energy mechanisms and have significant morbidity and mortality. There remains a paucity of information on functional outcomes after these injuries.
Authors: Michelle B Mulder; Michael J Maggart; Wendy J Yang; Eduardo A Perez; Nicholas Namias; Juan E Sola; Kenneth G Proctor; Chad M Thorson Journal: J Surg Res Date: 2019-08-01 Impact factor: 2.192
Authors: Nicolas Grisoni; Susan Connor; Eric Marsh; George H Thompson; Daniel R Cooperman; Laurel C Blakemore Journal: J Orthop Trauma Date: 2002-08 Impact factor: 2.512
Authors: R A Keshishyan; V M Rozinov; O A Malakhov; L E Kuznetsov; E G Strunin; G A Chogovadze; V E Tsukanov Journal: Clin Orthop Relat Res Date: 1995-11 Impact factor: 4.176
Authors: Mohamed Arafa; Ahmed A Khalifa; Ali Fergany; Mostafa A Abdelhafez; Aly Mohamedean; Faisal Fahmy Adam; Osama Farouk Journal: Int Orthop Date: 2022-07-23 Impact factor: 3.479