Quality of Life from Return to Work and Sport Activities to Sexual Dysfunction after Surgical Treatment of Pelvic Ring Fractures

Author:

Monteleone Andrea Stefano1ORCID,Feltri Pietro1ORCID,Müller Jochen1,Molina Mauro Natale1,Filardo Giuseppe12,Candrian Christian12

Affiliation:

1. Service of Orthopaedics and Traumatology, Department of Surgery, EOC, 6900 Lugano, Switzerland

2. Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland

Abstract

Background: Pelvic ring fractures are life-threatening injuries that have a severe impact on patients’ lives. The aim of this clinical study was to evaluate the outcome of surgical treatment in terms of Quality of Life (QoL), return to work, functional results and sport activities, and post-operative sexual dysfunction. Methods: A retrospective study with patients retrieved from a Level 1 Trauma Center was performed. Minimum patient follow-up was 12 months: QoL was evaluated with the SF-12 (Short Form Survey) questionnaire, return to work with the Workplace Activity Limitation Survey (WALS), functional outcomes and sport activities with the Harris Hip Score and Tegner activity score, respectively, and sexual function damage with a 0–10 NRS. Results: Seventy-six patients (41 males and 35 females) were enrolled, with a mean age at surgery of 56.4 years (18–89 years). Overall, their quality of life remained significantly affected, with male patients reporting worse WALS outcomes (p = 0.036), sexual damage (p = 0.001), and SF-12 Bodily Pain (p = 0.046) than females. In particular, 70.7% of men and 45.7% of women reported sexual limitations, and only 53.7% returned to their job, with 35.2% losing their job as a consequence of the pelvic ring disruption. Conclusions: An important deterioration in general health state, return to work, and sexual function was documented in patients treated surgically for pelvic trauma, especially in male patients. There are disabling secondary sequels at all levels beyond the mere functional scores, and both patients and clinicians should be aware and have the correct expectations.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference36 articles.

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2. Mortality in Patients With Pelvic Fractures: Results From the German Pelvic Injury Register;Hauschild;J. Trauma Acute Care Surg.,2008

3. The Epidemiology of Pelvic Ring Fractures: A Population-Based Study;Balogh;J. Trauma Acute Care Surg.,2007

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5. Tile, M. (1996). Fractures of the Pelvis and Acetabulum, Williams and Wilkins. [2nd ed.].

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