OTA 2019: Small improvement with ORIF vs. non-op treatment of LC pelvic fractures .
A Prospective Clinical Trial Comparing Operative versus Nonoperative Fixation of Minimally Displaced Lateral Compression Pelvic Fractures
Lateral compression (LC) pelvic fractures are common, and often best management is unclear. The authors randomized 94 patients to surgery (n = 44) or non-operative treatment (n = 50). Most fractures were LC-1 type fractures. Outcomes were the 10-point Brief Pain Inventory (BPI), the 100-point Majeed pelvis score. Surgery resulted in a 0.9 reduction in BPI score and a 7.7 score improvement in the Majeed score. Overall, it was unclear whether these benefits reached clinical significance. Further research is needed to help elucidate this.
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