Evidence map›Paper›PMID 36059040›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Rates and risk factors of complications associated with operative treatment of pelvic fractures.

C Q B Mostert, R A Timmer, P Krijnen, S A G Meylearts, I B Schipper

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Letter to the editor: "Complications and outcomes after definitive surgery fortraumatic high-energy pelvic fractures".European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Conservative versus operative treatment of LC-1 pelvic ring fractures: radiographic and long-term functional outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
  4. Complications and outcomes after definitive surgery for traumatic high-energy pelvic fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  5. Article
  6. Return to sport after acetabular and pelvic ring fractures in amateur athletes: A retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  7. Article
  8. Late surgical correction after complex unstable pelvic fracture 61 C3 (OTA/AO) of an 18-year-old woman.OTA international : the open access journal of orthopaedic trauma · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

C Q B Mostert *Department of Trauma Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
R A Timmer *Department of Trauma Surgery, Leiden University Medical Centre, Leiden, The Netherlands. r.a.timmer@lumc.nl.ORCID http://orcid.org/0000-0003-1593-6293
P KrijnenDepartment of Trauma Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
S A G MeyleartsDepartment of Trauma Surgery, Haaglanden Medical Centre, The Hague, The Netherlands.
I B SchipperDepartment of Trauma Surgery, Leiden University Medical Centre, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePost-operative complications following fixation of pelvic fractures can lead to mortality and increased morbidity. Available literature regarding complications is heterogeneous and knowledge on risk factors is limited. This study aims to identify the most common post-operative complications and their possible risk factors following pelvic fracture surgery.

methodsA retrospective cohort study was performed in two level-1 trauma centers in the Netherlands between January 2015 and January 2021. Included patients were all adult patients (≥ 18 years) with an operatively treated pelvic fracture (pelvic ring and/or acetabular fractures). Post-operative complications included surgical site infections (SSI), material-related complications, neurological complications, malunion/non-union and performed reoperations. A forward stepwise multivariable logistic regression analysis was used to identify any risk factors associated with these complications.

resultsComplications occurred in 55 (24%) of the 233 included patients. SSI's were most common, occurring in 34 (15%) patients. Duration of surgery (odds ratio 1.01 per minute, 95% confidence interval 1.00-1.01) and obesity (odds ratio 1.10 per BMI point, 95% confidence interval 1.29-7.52) were independent risk factors for development of SSI. Less common post-operative complications were material-related complications (8%) and neurological damage (5%).

conclusionLimiting operation time by using less invasive and less time-consuming surgical approaches may reduce the risk of SSI. More awareness and post-operative screening for early signs of SSI is mandatory, especially in obese patients. Future research should include large prospective patient cohorts to determine risk factors for other post-operative complications associated with pelvic fracture surgery.

Indexed as

Fractures, BoneHip FracturesPelvic BonesAdultFracture Fixation, InternalHumansObesityProspective StudiesRetrospective StudiesRisk FactorsSurgical Wound InfectionAcetabular fracturesFixationPelvic ring fracturesPost-operative complicationsSurgery

Identifiers

PMID36059040
PMCPMC10276111

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.