ABSTRACT
We investigated whether patients who underwent internal fixation for an isolated acetabular fracture were able to return to their previous sporting activities. We studied 52 consecutive patients with an isolated acetabular fracture who were operated on between January 2001 and December 2002. Their demographic details, fracture type, rehabilitation regime, outcome and complications were documented prospectively as was their level and frequency of participation in sport both before and after surgery. Quality of life was measured using the EuroQol-5D health outcome tool (EQ-5D). There was a significant reduction in level of activity, frequency of participation in sport (both p < 0.001) and EQ-5D scores in patients of all age groups compared to a normal English population (p = 0.001). A total of 22 (42%) were able to return to their previous level of activities: 35 (67%) were able to take part in sport at some level. Of all the parameters analysed, the Matta radiological follow-up criteria were the single best predictor for resumption of sporting activity and frequency of participation.
Subject(s)
Acetabulum/injuries , Exercise/physiology , Fracture Fixation, Internal/rehabilitation , Fracture Healing/physiology , Fractures, Bone/rehabilitation , Recovery of Function , Acetabulum/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Fracture Fixation, Internal/methods , Fractures, Bone/physiopathology , Fractures, Bone/surgery , Humans , Male , Middle Aged , Muscle, Skeletal/physiopathology , Quality of Life , Sports , Treatment Outcome , Young AdultABSTRACT
Metastatic tumours are the most common type of tumours in the spine of which only 10% occur in the cervical spine. We report a rare presentation of metastatic pheochromocytoma of the cervical spine which was successfully treated operatively. Adequate precautions should be taken during surgery as the tumour is very vascular. Radiotherapy is useful in the treatment of residual tumour.
