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Post Post-Mobilization Films for LC1 Pelvic Ring Injuries: Follow up Stress Imaging Demonstrates Minimal Utility.
- Source :
-
Journal of orthopaedic trauma [J Orthop Trauma] 2023 Oct 01; Vol. 37 (10), pp. 513-518. - Publication Year :
- 2023
-
Abstract
- Objective: To assess the utility of outpatient postmobilization radiographs in the nonoperative treatment of lateral compression type I (LC1) (OTA/AO 61-B1) pelvic ring injuries.<br />Design: Retrospective series.<br />Setting: Academic, Level 1 trauma center, 2008-2018.<br />Patients/participants: A series of 173 patients with nonoperatively treated LC1 pelvic ring injuries was identified. Of these, 139 received a complete set of outpatient pelvic radiographs with which to assess displacement.<br />Intervention: Outpatient pelvic radiographs to assess additional fracture displacement and potential need for surgical intervention.<br />Main Outcome Measurements: Rate of conversion to late operative intervention based on radiographic displacement.<br />Results: No patient in this cohort received late operative intervention. A majority of the patients sustained incomplete sacral fractures (82.6%) and unilateral rami fractures (75.1%), and 92.8% demonstrated less than 10 mm of displacement on their final radiographs.<br />Conclusions: There is a low utility of repeat outpatient radiographs of stable, nonoperative LC1 pelvic ring injuries as they do not undergo late displacement.<br />Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<br />Competing Interests: The authors report no conflict of interest.<br /> (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1531-2291
- Volume :
- 37
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic trauma
- Publication Type :
- Academic Journal
- Accession number :
- 37296088
- Full Text :
- https://doi.org/10.1097/BOT.0000000000002643