While the study was retrospective, the relevant demographic, operative, and follow-up data for all patients treated in our institution for acetabular fractures were collected prospectively in an Excel®-based (Microsoft, Redmond, WA, USA) database.
The only relevant per-operative complication, in our study, was haemorrhage of more than 200 ml (5.2%), but there were no haematomas, and no transfusion was required.
For us as clinicians seeing many of these patients, in contrast to several of the authors of the articles that have created this debate, it is evident that most patients have tried relevant non-operative interventions before they are seen by the orthopedic surgeon.
The characteristics of an individual patient, the site of tumour, the presence of metastatic disease, and the currently applied clinical treatment protocols from the relevant co-operative paediatric oncology group should be assessed in every single case to determine the optimal imaging investigation tailored for each individual.
It is known that lower limb power affects physical functioning following knee arthroplasty, and clinically it has been reported that pre-operative physical ability is relevant to post-operative physical outcome.
However, intraoperative factors may change the risk factors of patients, and the organism functionality parameters determined upon ICU admittance could therefore be more relevant in deciding operative mortality.
In our experience, based on clinical findings and empiric field observation with marines, tests covering low- and high-threshold movement control of the lower back and hip may adequately challenge weak-links in marines' musculoskeletal system as relevant in their operative duty.
However, intraoperative factors may change the risk profile of the patients, and parameters at the admission in the intensive care unit may be relevant in determining the operative mortality.
26 However, to what extent these mechanisms are operative and relevant to the association between OPG and survival in the setting of NSTE-ACS is unclear.
The PIR represents the only nationwide database specifically focusing on pelvic trauma and contains detailed information on demographics, fracture classification, in-hospital management with the main focus on timing and manner of operative treatment, relevant laboratory findings including data on transfusion, and outcome of at least each operative treatment.
