Conservative versus operative treatment of LC-1 pelvic ring fractures: radiographic and long-term functional outcomes
Purpose: To compare radiographic and long-term functional outcomes of conservatively and operatively treated traumatic lateral compression type 1 (LC-1) pelvic ring fractures, considering fracture morphology and injury severity. Methods: This single-center observational cohort study included adult p...
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| Hauptverfasser: | , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
20 April 2026
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| In: |
European journal of trauma and emergency surgery
Year: 2026, Jahrgang: 52, Pages: 1-11 |
| ISSN: | 1863-9941 |
| DOI: | 10.1007/s00068-026-03188-3 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00068-026-03188-3
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| Verfasserangaben: | Felix Metzger, Stefan Buschbeck, Benedict Swartman, Uwe Schweigkofler |
| Zusammenfassung: | Purpose: To compare radiographic and long-term functional outcomes of conservatively and operatively treated traumatic lateral compression type 1 (LC-1) pelvic ring fractures, considering fracture morphology and injury severity. Methods: This single-center observational cohort study included adult patients with traumatic LC-1 pelvic ring injuries treated between 2012 and 2020. Radiographic outcomes were assessed using the Matta–Tornetta system, and functional outcomes were evaluated at long-term follow-up using the normalized Majeed Pelvic Score and SF-12. Baseline characteristics and complications were analyzed descriptively.Results: Seventy-seven patients were included (38 conservative, 39 operative). Operatively treated patients had higher injury severity and more complex fracture morphology. Despite worse initial alignment, radiographic outcomes at follow-up were similar between groups, with most patients achieving excellent or good results. Radiographic consolidation was observed in nearly all patients. Long-term functional outcomes did not differ significantly between groups. Conclusion: In this observational cohort with substantial baseline differences, no significant differences in long-term functional outcomes were observed between treatment strategies. These findings support an individualized, morphology-based treatment approach. However, results should be interpreted with caution due to baseline imbalance and the non-randomized study design. |
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| Beschreibung: | Veröffentlicht: 20. April 2026 Gesehen am 28.05.2026 |
| Beschreibung: | Online Resource |
| ISSN: | 1863-9941 |
| DOI: | 10.1007/s00068-026-03188-3 |