ArticleGeriatric orthopaedic surgery & rehabilitation2017
Outcome and 2-Year Survival Rate in Elderly Patients With Lateral Compression Fractures of the Pelvis.
Article in Geriatric orthopaedic surgery & rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.
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Who cites it
56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Operative management of fragility fractures of the pelvis - a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- Patient-reported physical functioning and quality of life after pelvic ring injury: A systematic review of the literature.PloS one · 2020Pooled it
- Effectiveness of surgical fixation for lateral compression type one (LC-1) fragility fractures of the pelvis: a systematic review.BMJ open · 2019Pooled it
- Conservative versus operative treatment of FFP II fractures in a geriatric cohort: a prospective randomized pilot trial.Scientific reports · 2023Trial
- Pelvic hemorrhage in the context of demographic change: frequency and CT-based characterization of pelvic bleeding.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Letter to the editor on: operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Operative care rates of lateral compression type 1 pelvic fractures increased from 2003 to 2018.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- 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
- Prospective clinical feasibility assessment of the Osteoporotic Pelvis Fracture Score (OFP-Score)-a multicenter prospective cohort study.BMC geriatrics · 2026Article
- Behind the fracture: An unusual suspect of mechanical bowel.Trauma case reports · 2026Article
- Predictors of long- term survival after pelvic ring fractures in geriatric patients - five-year results of a prospective observational study of 134 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study.Surgery in practice and science · 2025Article
- Retrospective comparative study between conservative management and surgical fixation of pelvic insufficiency fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Fragility Fractures of the Pelvis-Current Understanding and Open Questions.Journal of clinical medicine · 2025Article
- [Minimally invasive stabilization of acetabular fractures with virtual navigation combined with robot-assisted 3D imaging].Operative Orthopadie und Traumatologie · 2025Review
- Feasibility and Safety of 3D-Navigated Trans-Sacral Bar Osteosynthesis for Fragility Fractures of the Sacrum: FIRST Clinical Experiences.Journal of clinical medicine · 2024Article
- Anterior internal versus external fixation of unstable pelvis fractures was not associated with discharge destination, critical care, length of stay, or hospital charges.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Predictors of mortality one year after pelvic fractures in an older population: a retrospective cohort study.Archives of osteoporosis · 2024Article
- What interventions add value in lateral compression type 1 fragility pelvis fractures? A retrospective cohort study.SAGE open medicine · 2024Article
- Percutaneous hollow nail internal fixation treatment for fractures of the pubic symphysis and its adjacent areas.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOsteoporotic pelvic ring fractures are a rising problem for surgeons in industrialized countries. There is no evidence-based treatment strategy especially for lateral compression (LC) fractures involving the sacrum. The aim of this study was to evaluate and compare outcome and survival rate of nonoperative and operative treatment strategies for lateral compression fractures. PATIENTS AND
methodsIn a retrospective study, 128 patients (aged ≥65 years) with an Orthopedic Trauma Association (OTA) types B2.1 and B3.3 fracture were included and analyzed regarding demographic and treatment data and adverse events. After a follow-up period of at least 2-year survival rate, quality of life and pain were evaluated using the EuroQol-5D and Short Form-12 questionnaires and the visual analog scale.
resultsFifty patients (78.3 ± 7.6 years) obtained operative treatment and 77 patients (82.7 ± 7.9 years) obtained nonoperative treatment. One died within 24 hours after admission. High rates of complications occurred in both groups (operative group: 18% and nonoperative group: 8%). Eighteen percent (14 of the 77) of conservatively treated patients needed operative treatment after discharge due to worsening pain and mobilization. The 2-year follow-up showed a high overall mortality (30%), with a significant higher survival rate for operatively treated patients (2-year survival: operatively treated 82% vs conservative 61%). No difference was found in pain and quality of life. DISCUSSION: Elderly patients display a high rate and variety of complications and mortality in the aftermath of lateral compression fractures of the pelvis. Although a significantly higher 2-year survival rate for operatively treated patients was found, this study cannot give proof of superior position for operative treatment. Due to lacking data for alternative treatment algorithms especially for fracture-related immobilized patients, we recommended operative treatment with the aim to reduce complications related to prolonged bed rest and ensure early mobilization.
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