Evidence map›Paper›PMID 32862316›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Functional treatment strategy for fragility fractures of the pelvis in geriatric patients.

Kensuke Hotta, Takaomi Kobayashi

Abstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Dual-energy CT in diagnosing sacral fractures: assessment of diagnostic accuracy and intra- and inter-rater reliabilities.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  9. Article
  10. Surgical treatment of fragility fractures of the pelvis: short-term outcomes of 42 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  11. Article
  12. Evaluation of a treatment protocol based on conservative therapy for fragility fractures of the pelvis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  13. Article
  14. Article
  15. Review
  16. Additional clinical value of routine CT imaging in fragility fractures of the pelvis: a prospective cohort study (ARTIFACT).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  17. Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  18. Article
  19. Article
  20. Focus on fragility fractures of the pelvis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Kensuke Hotta *Department of Orthopaedic Surgery, Karatsu Red Cross Hospital, 2430 Watada, Karatsu, Saga, 847-8588, Japan.
Takaomi Kobayashi *Department of Orthopaedic Surgery, Karatsu Red Cross Hospital, 2430 Watada, Karatsu, Saga, 847-8588, Japan. takaomi_920@yahoo.co.jp.ORCID http://orcid.org/0000-0002-2319-5440
Saga University · JPTakamatsu Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe propose a functional treatment strategy for fragility fractures of the pelvis (FFP) in geriatric patients; patients with such fractures normally undergo 10 days of conservative therapy with full-weight bearing within pain limits. Conservative therapy for FFP is continued for patients who can stand with assistance, and surgical stabilization is recommended for patients with difficulty in auxiliary standing at 10 day postadmission. This study aimed to compare the outcomes of functional treatment between geriatric patients with FFP type I/II and those with FFP type III/IV, as described by Rommens et al.

methodsWe conducted a retrospective study of 84 geriatric patients who underwent functional treatment for FFP. Based on the results of the first examination, the patients were allocated to the following FFP types: type I/II (n = 53) and type III/IV (n = 31). Change in functional mobility scale described by Graham et al. from before injury to the final follow-up were compared between the groups.

resultsThere was no significant difference in the functional mobility scale (0.25 ± 0.70 vs. 0.23 ± 0.56, p = 0.889) between FFP type I/II and FFP type III/IV.

conclusionThe outcomes of the functional treatment for FFP for the geriatric patients did not differ significantly between the radiographic classifications. Functional treatment could, therefore, be a treatment option for almost all radiographic types of FFP, especially for geriatric patients. Further investigations are warranted.

Indexed as

Conservative TreatmentAccidental FallsAgedAged, 80 and overFemaleFracture FixationHumansMaleOsteoporotic FracturesPelvic BonesRetrospective StudiesWeight-BearingConservative treatmentFragility fractures of the pelvisFunctional treatment strategyGeriatric patient

Identifiers

PMID32862316
OpenAlexW3081676190

What OpenQuestion holds

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Registered trials

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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.