Majeed listed criteria for determining functional outcome after a pelvic fracture. The criteria can be used over time to monitor recovery. The author is from Kuwait University.
Parameters (total points 100):
(1) pain (30)
(2) work (20)
(3) sitting (10)
(4) sexual intercourse (4)
(5) standing (36)
(5a) need for walking aids (12)
(5b) gait unaided (12)
(5c) walking (12)
|
Parameter |
Finding |
Points |
|---|---|---|
|
pain |
extreme, at rest |
0 |
|
|
intense, at rest |
5 |
|
|
intense with activity |
10 |
|
|
tolerable but limits activity |
15 |
|
|
with moderate activity, absent at rest |
20 |
|
|
mild and intermittent; normal activity |
25 |
|
|
none, slight or occasional |
30 |
|
work |
no regular work, unemployed |
0 |
|
|
no regular work, works occasionally |
4 |
|
|
light work |
8 |
|
|
requires change in job |
12 |
|
|
same job with reduced performance |
16 |
|
|
same job with same performance as before |
20 |
|
sitting |
extremely painful |
0 |
|
|
painful |
4 |
|
|
painful if prolonged or awkward |
6 |
|
|
uncomfortable |
8 |
|
|
pain free |
10 |
|
sexual intercourse |
extremely painful |
0 |
|
|
painful |
1 |
|
|
painful if prolonged or awkward |
2 |
|
|
uncomfortable |
3 |
|
|
pain free |
4 |
|
walking aids |
bedridden |
0 |
|
|
almost bedridden |
2 |
|
|
wheelchair |
4 |
|
|
two crutches |
6 |
|
|
two sticks |
8 |
|
|
one stick |
10 |
|
|
none |
12 |
|
gait unaided |
cannot walk at all |
0 |
|
|
almost unable to walk |
2 |
|
|
shuffling, small steps |
4 |
|
|
gross limp |
6 |
|
|
moderate limp |
8 |
|
|
slight limp |
10 |
|
|
normal |
12 |
|
walking |
bedridden |
0 |
|
|
can walk only a few meters |
2 |
|
|
very limited in time and distance |
4 |
|
|
limited with sticks, difficult without, prolonged standing possible |
6 |
|
|
one hour with stick, limited without |
8 |
|
|
one hour without sticks, slight pain or limp |
10 |
|
|
normal for age and general condition |
12 |
where:
• All of the parameters show a range at the worst level of performance. Considering the cutoffs for poor performance these may not need to be highly specified.
total score =
= SUM(points for all 7 of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the better the outcome.
|
Outcome |
Working Before Injury |
Not Working Before |
|---|---|---|
|
excellent |
85 - 100 |
70 - 100 |
|
good |
70 - 84 |
55 - 69 |
|
fair |
55 - 69 |
45 - 54 |
|
poor |
0 - 54 |
0 - 44 |
Specialty: Surgery, orthopedic
ICD-10: ,
