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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 9, 1208-1212.
doi: 10.1302/0301-620X.91B9.22222  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Lateral compression fractures of the superior pubic ramus with intra-articular extension

G. Y. Laflamme, MD, FRCS C, Orthopaedic Surgeon1; J. Delisle, RN, BScN, MSc, Clinical Researcher1; D. Rouleau, MD, FRCS C, Orthopaedic Surgeon1; A.-P. Uzel, MD, Orthopaedic Surgeon2; and S. Leduc, MD, FRCS C, Orthopaedic Surgeon1

1 Hôpital du Sacre-Coeur de Montreal, 5400 Gouin Ouest, Room C-2080, Montreal, Quebec, Canada H4J 1C5.
2 Department of Orthopaedic and Traumatology Surgery CHU Pointe-à-Pitre, 97159 Pointe-à-Pitre, Guadeloupe.

Correspondence should be sent to Ms J. Delisle; e-mail: joseedk{at}yahoo.ca

A total of 30 patients with lateral compression fractures of the pelvis with intra-articular extension into the anterior column were followed for a mean of 4.2 years (2 to 6), using the validated functional outcome tools of the musculoskeletal function assessment and the short-form health survey (SF-36). The functional outcome was compared with that of a series of patients who had sustained type-B1 and type-C pelvic fractures. The lateral-compression group included 20 men and ten women with a mean age of 42.7 years (13 to 84) at the time of injury.

Functional deficits were noted for the mental component summary score (p = 0.008) and in the social function domain (p < 0.05) of the SF-36. There was no evidence of degenerative arthritis in the lateral-compression group. However, they had high functional morbidity including greater emotional and psychological distress.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General