QUALITY-CONTROL AFTER PELVIC INJURIES WIT H A SCORING SYSTEM

Quality control after treatment of pelvic injuries is often poor becau se many criteria of assessment lack objectivity. In order to attain im proved comparability of results, we present a scoring system including subjective as well as functional and radiological criteria. The asses sment is based on a calculation according to the importance of the cri teria. The total score supplies the final result with a breakdown into excellent, good, fair and poor. 33 patients with type B and C injurie s (Tile) underwent evaluation with this scoring system. We found 15 ex cellent, 10 good, 2 fair and 6 poor results. The score showed that pat ients' most frequent handicap was pain (median 60% of maximum score). Hip mobility was hardly affected, and from the radiological point of v iew it appeared that alterations of pelvic symmetry and symphysis were most common. Our proposal is to apply this scoring system on a wide b asis, because only with a great number of patients can the effectivene ss of the score be tested and different ways of treatment assessed wit h regard to early and late results. Our system could be a useful contr ibution to sufficient quality control, particularly after such complex and severe injuries.