Quality of life after pelvic ring fractures: Long-term outcomes. A multicentre study

E. Hermans, L. Brouwers, T. van Gent, J. Biert, M. A. C. de Jongh, K. W. W. Lansink, M. J. R. Edwards

Research output: Contribution to journalArticleAcademicpeer-review


Aims: This study was conducted to determine long-term (5–10 years) health-related quality of life (HRQOL) and ceiling effects in patients with a pelvic ring fracture. Patients and methods: We identified all patients with pelvic ring fractures after high-energy trauma admitted at two level 1 trauma centres in the Netherlands from 2006 to 2011. Patients were asked to complete the Majeed Pelvic Score (MPS), EuroQol-5D (EQ-5D) and Short Musculoskeletal Function Assessment (SMFA) questionnaires. HRQOL analysis used a multiple linear regression model. Results: In total, 136 patients returned the questionnaires. The median follow-up period was 8.7 years. The mean MPS and EQ-5D-VAS scores were 85.1 and 74, respectively. The mean EQ-5D index scores were 0.87, 0.81 and 0.82 in Tile B, A and C patients, respectively. The mean SMFA index was 24. A ceiling effect was observed for 1/3 of the patients. After multiple linear regression analysis, no differences were identified among the various fracture types for each questionnaire, with the exception of 2 subscales of the MPS. Conclusion: Patients who suffer pelvic ring fractures generally have good HRQOL outcomes after 5–10 years. No significant differences were found among different fracture types. Long-term follow-up of patients with Tile C fractures is warranted.
Original languageEnglish
Pages (from-to)1216-1222
Number of pages7
Issue number6
Publication statusPublished - 1 Jun 2019

Cite this