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Functional assessment of operative and non-operative management in major pelvic fracture at Dr. Moewardi Hospital, Surakarta, Indonesia


Introduction: Pelvic fractures are responsible for skeletal injuries and soft tissue-related injuries. Pelvic fracture is a disorder of the pelvis bones' structure, including the hip bone, sacrum, and coccyx. The condition will result in stable status if the pelvis can resist weight-bearing loads without the incidence of any displacement. This study aims to determine pelvic fracture outcome, in which operative and non-operative management used the Majeed score to evaluate the functional results.

Method: A retrospective case-control study was performed to retrieve data from medical records of patients with pelvic fractures at Dr. Moewardi Hospital Surakarta for the period from January 1st, 2017, until December 31st, 2019. The evaluation of reduction quality was conducted following the scores put forward by Majeed to evaluate the clinical outcomes. Data analyzing used SPSS V.24.0 (IBM Corp). P-value of <0.05 was determined as the statistical significance.

Results: In this study, there were 40 samples of pelvic fracture cases; 60% were male, 55% were aged 19 – 40 y.o, motor crash caused 67%, 37.5% were cases of pubic rami fractures. Besides, operative management was 52,5%, while non-operative was 47,5%. Further, operative management's functional outcome was excellent at 66%, good at 19%, fair at 9%, and poor at 8% of the patients. Patients treated with operative management had significantly fewer severe injuries, as rated using the Majeed score than the non-operative group.

Conclusion: The results suggest that operative treatment may be a viable option in treating major pelvic fracture as it provides better functional results than non-operative treatment.


  1. Solomon L, Warwick D, Nayagam S, editors. Apley's system of orthopaedics and fractures. CRC press; 2010 Aug 27.
  2. Azar FM, Canale ST, Beaty JH. Campbell's Operative Orthopaedics, E-Book. Elsevier; 2020 Dec 21.
  3. Vijay et al., Pelvic Fracture – A Retrospective Autopsy Stud., International Journal of Health Sciences Research ( 2014;.4(9):103-106.
  4. Green DP. Rockwood and Green's fractures in adults. Lippincott Williams & Wilkins; 2010.
  5. Gerecht R, Larrimore A, Steuerwald M. Critical management of deadly pelvic injuries. JEMS. 2014 Dec 1;39(12):28-35.
  6. Majeed SA. Grading the outcome of Pelvic Fracture. JBJS Br. 1989; 71(2): 304-6
  7. Rommens PM, Hessmann MH. Staged reconstruction of pelvic ring disruption: differences in morbidity, mortality, radiologic results, and functional outcomes between B1, B2/B3 and C-type lesions. J Orthop Trauma. 2002; 16: 92-98.
  8. Tornetta P, Dickson K, Matta JM. Outcome of rotationally unstable pelvic ring injuries treated operatively. Clin Orthop. 1986; 39:147-151.
  9. Copeland CE, Bosse MJ, McCarthy ML: Effect of trauma and pelvic fracture on female genitourinary, sexual and reproductive function. J Orthop Trauma. 1997; 11:73-81.

How to Cite

Nefihancoro, U. H., Muamar, M., & Putra, M. D. P. (2021). Functional assessment of operative and non-operative management in major pelvic fracture at Dr. Moewardi Hospital, Surakarta, Indonesia. Bali Medical Journal, 10(1), 38–42.




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Udi Heru Nefihancoro
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Muhamad Muamar
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Muhammad David Perdana Putra
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