ReviewDer Unfallchirurg2011
[Pelvic ring fractures in the elderly. Underestimated osteoporotic fracture].
Review in Der Unfallchirurg, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04744350 (Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis: a Prospective, Randomized Controlled Trial
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.
- Accuracy in navigated percutaneous sacroiliac screw fixation: a systematic review and meta-analysis.BMC surgery · 2025Pooled it
- Sacroiliac versus transiliac-transsacral screw osteosynthesis in osteoporotic pelvic fractures: a biomechanical comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Trial
- Minimally invasive screw fixation versus conservative treatment for geriatric non- or minimally displaced acetabular fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Fragility Fractures of the Pelvis-Current Understanding and Open Questions.Journal of clinical medicine · 2025Article
- Three-Dimensional Navigated Transsacral Screw Fixation After Failed Conservative Treatment in Patients with Sacral Insufficiency Fractures: A Retrospective Observational Study with a Three-Month Follow-Up.Journal of clinical medicine · 2025Article
- CT-Based Evaluation of Hounsfield Units-A Novel Screening Tool for Undiagnosed Osteoporosis in Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 2025Article
- Hemorrhage Versus Thrombosis: A Risk Assessment for Anticoagulation Management in Pelvic Ring and Acetabular Fractures-A Registry-Based Study.Journal of clinical medicine · 2025Article
- Hemorrhage in Pelvic Ring Fractures After Low-Energy Trauma: A Systematic Review.Journal of clinical medicine · 2024Review
- Lumbopelvic Stabilization with Two Methods of Triangular Osteosynthesis: A Biomechanical Study.Journal of clinical medicine · 2024Article
- [Conservative fracture treatment in old people].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Stabilization of Traumatic Iliosacral Instability Using Innovative Implants: A Biomechanical Comparison.Journal of clinical medicine · 2023Article
- [Sacral H-shaped fractures between traumatic, insufficiency and fatigue fractures : Similarities, differences and controversies].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Posterior pelvic ring involvement detected with CT taken within a week of admission in acute fragility fractures of the pelvis (FFP) does not predict failure of conservative treatment: a retrospective cohort study.BMC musculoskeletal disorders · 2023Article
- Influence of the Backward Fall Technique on the Transverse Linear Acceleration of the Head during the Fall.Sensors (Basel, Switzerland) · 2023Article
- The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis.Trauma case reports · 2022Article
- Immediate full weight bearing after pelvic percutaneous fixation by screw for simple acetabular and pelvic ring fractures in patients older than sixty five years.International orthopaedics · 2022Observational
- Does augmentation increase the pull-out force of symphyseal screws? A biomechanical cadaver study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Sacroiliac Screw Placement with Ease: CT-Guided Pelvic Fracture Osteosynthesis in the Elderly.Medicina (Kaunas, Lithuania) · 2022Article
- FRAGILITY FRACTURES OF THE SACRUM: A SILENT EPIDEMIC.Orthopedic reviews · 2022Article
- Which factors influence treatment decision in fragility fractures of the pelvis? - results of a prospective study.BMC musculoskeletal disorders · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The incidence of pelvic fractures at 0.3-8% is low compared to all fractures. Nevertheless, the number of pelvic fractures in the elderly is increasing. Due to the increased age of the patient differences in trauma mechanism, fracture pattern and therapy occur. Most pelvic fractures in the elderly are caused by low-energy trauma. This makes it difficult to find the right diagnosis especially in insufficiency fracture of the pelvis. The time until the right treatment is started is prolonged significantly. Elderly patients who suffer from a high-energy fracture have a significantly higher risk of haemorrhage. At the same time emergency stabilisation of the pelvis using a C-clamp is dangerous due to the special fracture morphology with transiliac instabilities and the combination with osteoporosis. Low-energy trauma leads to simple fractures of the pubis, which often can be treated without operation. In these cases fractures of the dorsal pelvic ring need to be excluded using CT scan. Fracture of the dorsal part of the pelvic ring such as insufficiency fractures of the sacrum should be stabilized by 3D-guided percutaneous iliosacral screw fixation to reduce pain and allow early mobilisation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.