Clinical and radiomorphological predictors of outcome and implant failure after open-book pelvic injuries/symphyseal disruptio

Conditions: S33.4
S32.7
Traumatic rupture of symphysis pubis
Multiple fractures of lumbar spine and pelvis

Registration Number: DRKS00016759

Lead Sponsor: niversitätsklinikum Leipzig

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 34

Inclusion Criteria

Pelvic ring injuries with existing Open Book fracture as sole injury or in combination with another pelvic ring fracture: B1, B3.1, B3.2 and C according to Tile or APC, VS and CM injuries according to Young and Burgess

- Age >18 years

Exclusion Criteria

- Patients with additional acetabular fractures and other pelvic ring injuries
- Pregnant patients
- Refusal to participate in the study (with regard to the follow-up examination)

Study & Design

Study Type: observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Determination of concomitant injuries and the time of surgery and their influence on pelvic specific outcomes scores (Majeed Pelvic Score, Iowa Pelvic Score, Pelvic Discomfort Index) and on the pelvic non-specific SF-36 <br><br>2. Identification of displacements and instabilities by radiographic measurement and CT-based 3D reconstructions and correlation of these with implant failure and clinical outcome.<br>

Secondary Outcome Measures

Name	Time	Method
1. Investigation of the concomitant injury with the greatest influence on the outcome.<br>2. Determination of the pelvic-specific score that correlates most closely with the overall quality of life (SF-36).<br>3. Determination of the (temporal) influence of the concomitant injuries on surgical care.<br>4. Influence of the time of the surgical treatment on the outcome after an open book fracture.<br>5. Identification of radiologically measured instabilities that influence implant failure and outcome.<br>6. Comparison of specific instabilities in the measurement of radiographs and CT-based 3D reconstructions.<br>7. Influence of implant failure on clinical outcome