Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement
Background: The proportion of open pelvic fractures in the paediatric population is relatively high. While operative fixation is the primary approach for managing open pelvic fractures in adults, there is limited literature on treatment outcomes in Children, particularly regarding long-term musculos...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-08-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024000736 |
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| author | A.H.M. Mennen E.M.M. Van Lieshout P.A. Bisoen F.W. Bloemers A.E. Geerlings D. Koole M.H.J. Verhofstad J.J. Visser D. Van Embden M.G. Van Vledder |
| author_facet | A.H.M. Mennen E.M.M. Van Lieshout P.A. Bisoen F.W. Bloemers A.E. Geerlings D. Koole M.H.J. Verhofstad J.J. Visser D. Van Embden M.G. Van Vledder |
| author_sort | A.H.M. Mennen |
| collection | DOAJ |
| description | Background: The proportion of open pelvic fractures in the paediatric population is relatively high. While operative fixation is the primary approach for managing open pelvic fractures in adults, there is limited literature on treatment outcomes in Children, particularly regarding long-term musculoskeletal, neurological, and urogenital function. Methods: This multicentre case series included paediatric patients (<18 years old) with open pelvic ring fractures treated at one of two major trauma centres in the Netherlands between January 1, 2001 and December 31, 2021. Data collection involved clinical records and long-term assessments, including musculoskeletal function, growth disorders, urogenital function, sexual dysfunction, and sensory motor function. Results: A total of 11 patients were included, primarily females (73 %), with a median age at trauma of 12 years (P25–P75 7–14). Most patients had unstable Pelvic ring fractures resulting from high-energy trauma. Surgical interventions were common, with external fixation as the main initial surgical approach (n = 7, 70 %). Complications were observed in eight (73 %) patients. Musculoskeletal function revealed a range of issues in the lower extremity, daily activities, and mental and emotional domain. Long-term radiologic follow-up showed high rates of Pelvic malunion (n = 7, 64 %). Neurological function assessment showed motor and sensory function impairment in a subset of patients. Urogenital function was moderately affected, and sexual dysfunction was limited with most respondents reporting no issues. Conclusion: Paediatric open pelvic fractures are challenging injuries associated with significant short-term complications and long-term musculoskeletal and urogenital issues. Further research is needed to develop tailored treatment strategies and improve outcomes of these patients. |
| format | Article |
| id | doaj-art-2592fd38215c49e28b0387ec7be8bce7 |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-2592fd38215c49e28b0387ec7be8bce72025-08-20T03:45:07ZengElsevierTrauma Case Reports2352-64402024-08-015210105010.1016/j.tcr.2024.101050Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurementA.H.M. Mennen0E.M.M. Van Lieshout1P.A. Bisoen2F.W. Bloemers3A.E. Geerlings4D. Koole5M.H.J. Verhofstad6J.J. Visser7D. Van Embden8M.G. Van Vledder9Amsterdam UMC location University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam, the Netherlands; Corresponding author at: Amsterdam UMC Location University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam, the Netherlands.Erasmus MC, University Medical Center Rotterdam, Trauma Research Unit Department of Surgery, dr. Molewaterplein 40, Rotterdam, the NetherlandsErasmus MC, University Medical Center Rotterdam, Trauma Research Unit Department of Surgery, dr. Molewaterplein 40, Rotterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Surgery, De Boelelaan 1117, Amsterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam, the NetherlandsErasmus MC, University Medical Center Rotterdam, Trauma Research Unit Department of Surgery, dr. Molewaterplein 40, Rotterdam, the NetherlandsErasmus MC, University Medical Center Rotterdam, Trauma Research Unit Department of Surgery, dr. Molewaterplein 40, Rotterdam, the NetherlandsErasmus MC, University Medical Center Rotterdam, Department of Radiology, dr. Molewaterplein 40, Rotterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam, the NetherlandsErasmus MC, University Medical Center Rotterdam, Trauma Research Unit Department of Surgery, dr. Molewaterplein 40, Rotterdam, the NetherlandsBackground: The proportion of open pelvic fractures in the paediatric population is relatively high. While operative fixation is the primary approach for managing open pelvic fractures in adults, there is limited literature on treatment outcomes in Children, particularly regarding long-term musculoskeletal, neurological, and urogenital function. Methods: This multicentre case series included paediatric patients (<18 years old) with open pelvic ring fractures treated at one of two major trauma centres in the Netherlands between January 1, 2001 and December 31, 2021. Data collection involved clinical records and long-term assessments, including musculoskeletal function, growth disorders, urogenital function, sexual dysfunction, and sensory motor function. Results: A total of 11 patients were included, primarily females (73 %), with a median age at trauma of 12 years (P25–P75 7–14). Most patients had unstable Pelvic ring fractures resulting from high-energy trauma. Surgical interventions were common, with external fixation as the main initial surgical approach (n = 7, 70 %). Complications were observed in eight (73 %) patients. Musculoskeletal function revealed a range of issues in the lower extremity, daily activities, and mental and emotional domain. Long-term radiologic follow-up showed high rates of Pelvic malunion (n = 7, 64 %). Neurological function assessment showed motor and sensory function impairment in a subset of patients. Urogenital function was moderately affected, and sexual dysfunction was limited with most respondents reporting no issues. Conclusion: Paediatric open pelvic fractures are challenging injuries associated with significant short-term complications and long-term musculoskeletal and urogenital issues. Further research is needed to develop tailored treatment strategies and improve outcomes of these patients.http://www.sciencedirect.com/science/article/pii/S2352644024000736Open pelvic fractureChildrenLong-term outcomesMusculoskeletal dysfunctionNeurological dysfunctionUrogenital dysfunction |
| spellingShingle | A.H.M. Mennen E.M.M. Van Lieshout P.A. Bisoen F.W. Bloemers A.E. Geerlings D. Koole M.H.J. Verhofstad J.J. Visser D. Van Embden M.G. Van Vledder Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement Trauma Case Reports Open pelvic fracture Children Long-term outcomes Musculoskeletal dysfunction Neurological dysfunction Urogenital dysfunction |
| title | Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement |
| title_full | Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement |
| title_fullStr | Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement |
| title_full_unstemmed | Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement |
| title_short | Long-term musculoskeletal function after Open PElvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement |
| title_sort | long term musculoskeletal function after open pelvic ring fractures in children opec a multicentre retrospective case series with follow up measurement |
| topic | Open pelvic fracture Children Long-term outcomes Musculoskeletal dysfunction Neurological dysfunction Urogenital dysfunction |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024000736 |
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