FUNCTIONAL OUTCOME OF PATIENTS PRESENTING TO GHURKI TRUST TEACHING HOSPITAL WITH PELVIC FRACTURES

Abstract

Background: Pelvic fractures, although relatively uncommon, are associated with high morbidity due to their complex anatomy and frequent association with polytrauma. Functional disability is a major concern in survivors, particularly in resource-limited settings. The Majeed Pelvic Score (MPS) is a validated tool to assess functional recovery.

Objective: To evaluate the functional outcomes of patients with pelvic fractures managed at Ghurki Trust Teaching Hospital, Lahore, using the Majeed Pelvic Score.

Methodology: This Prospective study was conducted in the Department of Orthopaedics & Spine Centre, Ghurki Trust Teaching Hospital. A total of 83 patients aged 14–70 years with radiologically confirmed pelvic fractures were enrolled using consecutive non-probability sampling. Patients with neurovascular disorders, neglected fractures, or those lost to follow-up were excluded. Management strategies included both conservative and surgical interventions. Functional outcomes were assessed at 3 months post-injury using the Majeed Pelvic Score. Data were analyzed using SPSS version 23, with Wilcoxon Rank and Mann–Whitney U tests applied; p ≤ 0.05 was considered significant.

Results: The mean age was 37.45 ± 15.26 years, with 84.3% males. Road traffic accidents were the leading cause of injury (53.0%). Most fractures were closed (89.2%), and 19.3% had associated injuries. The mean preoperative Majeed score was 26.10 ± 5.54, improving significantly to 90.06 ± 9.22 at follow-up (p < 0.001). Construct-wise analysis revealed that most patients reported minimal or no pain (53.0%), normal gait (71.1%), independent ambulation (72.3%), pain-free sitting (75.9%), and unrestricted sexual function (91.6%). Work reintegration was partial, with 28.9% returning to full performance. Younger patients (14–35 years) had significantly better outcomes compared to older patients (p < 0.001), while gender, injury type, associated injuries, and mechanism of injury showed no significant differences.