Methods During the years 2003–2012, 282 injured individuals aged 20–55 years on the date of the accident, were hospitalized and treated for PRFs in a large tertiary hospital in Athens, Greece. One hundred and three patients were traced and contacted; 77 who were on paid employment prior to the accident gave their informed consent to participate in the survey, which was conducted in early 2015 through telephone interviews. Скачать Драйвер На Монитор Lg Flatron L194ws. The questionnaire included variables related to injury, treatment and activities, and the Majeed pelvic score.

Univariate and multiple regression analyses were used for statistical assessment. Results Almost half of the injured (46.7%) fully RTW, and earning losses were reported to be 35% after PRF. The univariate analysis confirmed that RTW was significantly related to accident site (labor or not), the magnitude of the accident's force, concomitant injuries, duration of hospitalization, time to RTW, engagement to the same sport, Majeed score, and complications such as limp and pain as well as urologic and sexual complaints ( p. 1. Introduction Pelvic ring fractures (PRFs) have increased considerably; nowadays, they represent 3–8% of all skeletal injuries with even higher mortality rates of up to 20%, whereas in antiquity only two out of 147 types of injuries were related to the pelvis, as described in Iliad. The annual incidence of PRFs is estimated to be 19–37 for every 100,000 inhabitants, and 10 of them are high-energy injuries, mostly in men, and among polytrauma patients 20–25% will have PRFs,,. In Greece, the very high number of motor vehicle accidents result in higher incidences of PRFs.

Causes also include falls or shooting incidents. Treatment mostly depends on stability, and it could be conservative or surgical followed by physical and psychosocial support.

Pelvic fractures historically have been treated nonoperatively. The earliest management of pelvic fractures consisted of prolonged recumbency followed by mobilization as fracture healing occurred and symptoms abated. Severe pelvic fractures are life-threatening injuries. The greatest risk is due to immediate blood loss, particularly in the period before emergency care begins. Other possible early complications include infection, wound healing problems, blood clots,. To do that, a skilled orthopedic surgeon may apply an external fixator, a device that immobilizes the broken bones. Pins are drilled into the bony pelvis to anchor a frame that surrounds them.2 The goal is to reapproximate bony surfaces and thus reduce bleeding and restore the size of the pelvic cavity.

Therefore, we used Tile and Young–Burgess system, which classifies injuries according to stability and direction of force that acts on the pelvis,,,,. Recovery that could be defined as the process of becoming healthy after PRF is measured by generic indexes such as the 36-Item Short Form Health Survey or disease-specific instruments such as the Majeed score,,. Pain most frequently reported (30–85%) and other complications such as neurologic (36–56%), sexual (12.5–52.1%), gastrointestinal, and genitourinary (4.6–33%), post-traumatic stress or, on the contrary, post-traumatic growth determine outcomes that are used to measure recovery and quality of life,,,,,,. It is a fact that multiple traumas with PRF are the leading cause of disability affecting recovery and return to work (RTW).

The percentage of RTW of injured individuals with PRF has been reported to range between 41% and 62.5% or even higher (˃70%),,. The unemployment rate after PRF has been estimated to be between 16% and 28%, whereas 23% of patients were forced to change jobs,,. The injury severity score and job type are considered strong prognostic factors of RTW,,. A reduction in intensity and frequency of sport activity after combined injuries of the pelvic ring and lower extremities have also been reported. Several studies have examined the outcomes of PRF, but only a few studies have investigated the predictive factors in relation to RTW after PRF,,,,,. The aim of this study was firstly to monitor recovery and RTW after any type of PRF due to high-energy trauma in previously productive up to middle-aged individuals in a long-term follow-up, and secondly to explore the predictive factors possibly related to RTW.

Kenmore Range Model C880 Manual Meat there. 2. Materials and methods Data and contact information were collected retrospectively from the registry of the Orthopedic Clinic of the General Hospital of Nikea-Pireus and the personal archive of its clinical director, who is a coauthor of this study (NP). The hospital is one of the largest in Greece and among the few with a very high expertise in pelvic injuries. The study was approved by the Scientific Committee of Hellenic Open University, and after obtaining access permissions for the registries, the contact and baseline data collected were limited by the following inclusion criteria: (1) people hospitalized for pelvic fracture during the years January 1, 2003 to December 31, 2012; (2) age of the injured person on the accident date between 20 years and 55 years; and (3) injured individual on paid employment prior to the accident. The specific time points and age groups have been chosen in order to calculate the Majeed score in the selected time frames (see below) and to minimize both the number of current retirees (the conventional age of retirement in Greece is 65 years) and the recall bias. A total of 539 patients with pelvic fractures have been hospitalized within the study period. Almost half of them were excluded because of the age limit.