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Review Question - QID 6905

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QID 6905 (Type "6905" in App Search)
Figure 11 shows the radiograph of a 26-year-old man with type I diabetes mellitus who was struck by a motor vehicle. What is the most common complication associated with this pelvic fracture?
  • A

Infection

0%

0/6

Sciatic nerve palsy

17%

1/6

Heterotopic ossification

17%

1/6

Deep venous thrombosis

17%

1/6

Degenerative arthritis

50%

3/6

  • A

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The most common complication following acetabular or pelvic ring injury is deep venous thrombosis (DVT). Without prophylaxis, rates of DVT are as high as 70% to 80%. With prophylaxis, the rates are around 10%. Infection rates in surgical repair of acetabular fractures are relatively low but a history of diabetes mellitus and a significant Morel-Lavalle lesion certainly increase the risk. However, even with these two complicating factors, the rates of infection are still lower than 10%. Sciatic nerve palsy rates from the injury alone approach 20% and iatrogenic injury is usually less than 2%. Degenerative changes to the hip following this injury approach 20% to 25%, even with an anatomic reduction.

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