Evidence map›Paper›PMID 42008133›Full record

Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

Conservative versus operative treatment of LC-1 pelvic ring fractures: radiographic and long-term functional outcomes.

Felix Metzger, Stefan Buschbeck, Benedict Swartman, Uwe Schweigkofler

Abstract readObservational StudyComparative Study
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In one paragraph

Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Felix MetzgerDepartment for Orthopaedics and Trauma Surgery, BG Klinik Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany. felix.metzger@bgu-ludwigshafen.de.
Stefan BuschbeckDepartment of Trauma Surgery and Orthopaedics, BG Unfallklinik Frankfurt, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany.
Benedict SwartmanDepartment for Orthopaedics and Trauma Surgery, BG Klinik Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany.
Uwe SchweigkoflerDepartment of Trauma Surgery and Orthopaedics, BG Unfallklinik Frankfurt, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare radiographic and long-term functional outcomes of conservatively and operatively treated traumatic lateral compression type 1 (LC-1) pelvic ring fractures, considering fracture morphology and injury severity.

methodsThis single-center observational cohort study included adult patients with traumatic LC-1 pelvic ring injuries treated between 2012 and 2020. Radiographic outcomes were assessed using the Matta–Tornetta system, and functional outcomes were evaluated at long-term follow-up using the normalized Majeed Pelvic Score and SF-12. Baseline characteristics and complications were analyzed descriptively.

resultsSeventy-seven patients were included (38 conservative, 39 operative). Operatively treated patients had higher injury severity and more complex fracture morphology. Despite worse initial alignment, radiographic outcomes at follow-up were similar between groups, with most patients achieving excellent or good results. Radiographic consolidation was observed in nearly all patients. Long-term functional outcomes did not differ significantly between groups.

conclusionIn this observational cohort with substantial baseline differences, no significant differences in long-term functional outcomes were observed between treatment strategies. These findings support an individualized, morphology-based treatment approach. However, results should be interpreted with caution due to baseline imbalance and the non-randomized study design.

Indexed as

Conservative TreatmentFracture Fixation, InternalFractures, BoneFractures, CompressionPelvic BonesAdultFemaleHumansInjury Severity ScoreMaleMiddle AgedRadiographyTreatment OutcomeFunctional outcomeLateral compression injuryLC-1 injuryPelvic instabilityPelvic ring injurySacral fracture

Identifiers

PMID42008133

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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.