Pubic Rami Fracture: A Benign Pelvic Injury?

Kenneth J. Koval, Gina B. Aharonoff, Michael C. Schwartz, Scott Alpert, Gila Cohen, Ashgan McShinawy, Joseph D. Zuckerman

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

Objective: To present a consecutive series of older patients with pubic rami fractures and evaluate their long term functional outcome. Study Design: Retrospective. Methods: Sixty-three consecutive community-dwelling, ambulatory patients who sustained a pubic rami fracture and were treated at one hospital were reviewed. Fifty-two of sixty-three patients (83%) had radiographic evidence of pubic rami fracture at initial presentation; in the remaining eleven patients, the diagnosis of pubic rami fracture was made after additional imaging studies. Sixty patients (95%) required hospitalization for pain control and progressive mobilization. Results: The hospital length of stay for the sixty admitted patients averaged fourteen days; patients who had three or more associated medical comorbidities or required use of a cane or walker for ambulation prior to fracture were more likely to have been hospitalized greater than two weeks. Thirty-eight patients were available for one year minimum follow-up; thirty-five of thirty-eight patients (92%) were living at home, 84% had no or mild complaints of hip/groin pain, 92% had returned to their prefracture ambulatory status, and 95% had returned to their prefracture function in activities of daily living. Conclusions: 1) Elderly patients with pubic rami fractures utilize substantial healthcare resources based upon length of stay and need for home care services; and 2) those patients who survive have a good prognosis with regard to long term pain relief and functional outcome.

Original languageEnglish
Pages (from-to)7-9
Number of pages3
JournalJournal of Orthopaedic Trauma
Volume11
Issue number1
DOIs
StatePublished - Jan 1997
Externally publishedYes

Keywords

  • Fracture
  • Outcome
  • Pubic rami

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