To evaluate the impact of a pelvic fracture on a woman's physical, sexual, and reproductive functioning.
Level one trauma center.
Two groups of female multitrauma patients : those with pelvic fractures (subjects) and those with extremity fractures but no pelvic fracture (controls).
Of the 302 women eligible for participation in this study, 255 (80% ; 123 subjects, 118 controls) were interviewed by blinded professional interviewers regarding genitourinary symptoms, sexual function, and reproductive history.
Urinary complaints occurred significantly more frequently in subjects than in controls (21 versus 7%, respectively ; p=0.003), in subjects with residual pelvic fracture displacement = 5 mm than in those without displacement (33 versus 14%, respectively ; p=0.018), and in subjects with residual lateral (60%) or vertical (67%) displacement than in those with medially displaced fractures (21.4%) (p=0.04).
Although both groups reported increased rates of cesarean section, this increase was statistically significant only in the subject group : 14.5% preinjury versus 48% pastinjury (p<0.0001).
Adjusting for previous cesarean sections, cesarean section was significantly more frequent in subjects with fractures initially displaced = 5mm (80%) than in those with fractures initially displaced<5mm (15%) (p=0.02). (...)
Mots-clés Pascal : Fracture, Os bassin, Femelle, Epidémiologie, Prévalence, Complication, Long terme, Symptomatologie, Appareil urinaire, Appareil génital femelle, Sexualité, Reproduction, Adulte, Homme, Ceinture pelvienne, Système ostéoarticulaire pathologie, Traumatisme, Pelvis pathologie
Mots-clés Pascal anglais : Fracture, Pelvis bone, Female, Epidemiology, Prevalence, Complication, Long term, Symptomatology, Urinary system, Female genital system, Sexuality, Reproduction, Adult, Human, Pelvic girdle, Diseases of the osteoarticular system, Trauma, Pelvis pathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0197473
Code Inist : 002B16H. Création : 21/05/1997.