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Pre-injury level of activity ‘unlikely’ after pelvic fracture, investigator says

Issue: Issue 4 2011

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COPENHAGEN — Quality of life and return to sport are significantly decreased by pelvic fracture, according to investigators from the United Kingdom.

Mudussar A. Ahmad, MD, presented his team’s findings at the 12th EFORT Congress 2011, here.

“Looking at overall sports activity score, there are significant differences and declines in overall score,” he said. “If you look at the level of activity before and after the pelvic fracture, the level of activity has decreased. If you look at the number of sports [played] before and after the pelvic fracture, these have also decreased.”

Ahmad’s team investigated 60 adult patients with pelvic fractures who were treated at their institution between January 2006 and January 2007. Following exclusion criteria of pathological fractures, 53 patients were available for the study. The team collected data on demographics, the mechanism of injury, pattern of fracture, injury severity score (ISS), associated injuries, fixation method, complications and functional outcome. The group used the EuroQol to assess quality of life and gauged return to sport with a sports questionnaire. Minimum follow-up was 24 months.

Ahmad reported that mean ISS was 25.1, with significant decreases in quality of life — mostly impacting mobility, usual activities and pain. He said 42 patients experienced significant decreases in sporting activities, and six patients were able to maintain the same degree of activity. Five patients displayed the lowest mean ISS of 18 points, yet reported an increase of activity.

Lower extremity injury, Ahmad said, was found to be a significant factor for a decrease in sporting and physical activity.

“There is a significant decrease in quality of life and sports activity following a pelvic fracture,” Ahmad concluded. “Patients should be informed their pre-injury level of sporting activity is unlikely to be recovered.”

Reference:

Harvey-Kelly KF, Kanakaris N, Ahmad M, et al. Quality of life and sports return following pelvic ring injuries. Paper #936. Presented at the 12th EFORT Congress 2011. June 1-4. Copenhagen.

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