Langzeitnachuntersuchung polytraumatisierter Patienten mit Frakturen des Acetabulums oder der unteren Extremität : welche Verletzungen verursachen dauerhaft größere Probleme?
type: CreativeWork
description: BACKGROUND: Over the last decades, improved preclinical and clinical trauma care has markedly decreased the mortality rates of polytrauma patients. With increased survival rates, the functional outcome and the quality of life following injury have gained importance in the evaluation of polytrauma patients. However, the long- term clinical status of patients following polytrauma has not been well described.OBJECTIVE: This study focusses on polytraumatized patients with fractures of the acetabulum or the lower extremities. Its goal is to evaluate the effect of the different fracture localizations on long-term functional outcome. METHODS: In the “Hannover-Polytrauma-Longterm-Study“, the social and medical sequelae of severe trauma were reinvestigated at least 10 years after the injury using a standardized physical examination by a doctor as well as a patient questionnaire. 637 patients were evaluated in total. Inclusion criteria for this analysis were: polytrauma, solitary fractures of the acetabulum, proximal femur, femoral shaft, knee joint oder tibial shaft as well as patient age between 3 and 60 years at the time of trauma. Exclusion criteria were considered to be amputations, joint replacement, and incomplete follow-up data. Parameters of follow-up examination included persistance of pain, range of motion, limping, success of rehabilitation, the ability to work and outcome scores (HASPOC, SF-12).RESULTS: 229 Patients matched the inclusion criteria and had solitary fractures of one of the examined bodyregions. The results demonstrate a correlation between the functional long- term results and the localization of the lower- extremity fractures. The main results can be summarized as follows: (1) Patients following fractures of the acetabulum or the knee joint have significantly worse long- term results concerning general health, success of rehabilitation and ability to work than the other patients with lower- extremity fractures. Especially patients suffering from ac…
abstract: BACKGROUND: Over the last decades, improved preclinical and clinical trauma care has markedly decreased the mortality rates of polytrauma patients. With increased survival rates, the functional outcome and the quality of life following injury have gained importance in the evaluation of polytrauma patients. However, the long- term clinical status of patients following polytrauma has not been well described.OBJECTIVE: This study focusses on polytraumatized patients with fractures of the acetabulum or the lower extremities. Its goal is to evaluate the effect of the different fracture localizations on long-term functional outcome. METHODS: In the “Hannover-Polytrauma-Longterm-Study“, the social and medical sequelae of severe trauma were reinvestigated at least 10 years after the injury using a standardized physical examination by a doctor as well as a patient questionnaire. 637 patients were evaluated in total. Inclusion criteria for this analysis were: polytrauma, solitary fractures of the acetabulum, proximal femur, femoral shaft, knee joint oder tibial shaft as well as patient age between 3 and 60 years at the time of trauma. Exclusion criteria were considered to be amputations, joint replacement, and incomplete follow-up data. Parameters of follow-up examination included persistance of pain, range of motion, limping, success of rehabilitation, the ability to work and outcome scores (HASPOC, SF-12).RESULTS: 229 Patients matched the inclusion criteria and had solitary fractures of one of the examined bodyregions. The results demonstrate a correlation between the functional long- term results and the localization of the lower- extremity fractures. The main results can be summarized as follows: (1) Patients following fractures of the acetabulum or the knee joint have significantly worse long- term results concerning general health, success of rehabilitation and ability to work than the other patients with lower- extremity fractures. Especially patients suffering from ac…
author: Ohm, Niels Simon
language: ger
keywords: info:eu-repo/classification/ddc/610, Polytrauma, Nachuntersuchung, Rehabilitation, Hüftgelenkpfanne, Bein, Medizin, follow-up, acetabulum, lower limb
date published: 2012
date modified: 2026-07-30T19:43:35Z
provider: RWTH Aachen University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Publikationsserver der RWTH Aachen University