ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Percutaneous operative treatment of fragility fractures of the pelvis may not increase the general rate of complications compared to non-operative treatment.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07624942 (Comparing the Efficacy and Safety of Robot Assisted Treatment Versus Conventional Surgery in Patients With Tile B and C Pelvic Fractures), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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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.
Comparing the Efficacy and Safety of Robot Assisted Treatment Versus Conventional Surgery in Patients With Tile B and C Pelvic Fractures
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis.Nagoya journal of medical science · 2023Pooled it
- [Surgical stabilization of fragility fractures of the pelvis shows a good age-appropriate result regardless of the surgical procedure].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- The use of a curved internal fixation device in adult pelvic Fractures: Short-Term clinical outcomes in high and low energy fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Fragility Fractures of the Pelvic Ring: Analysis of Epidemiology, Treatment Concepts, and Surgical Strategies from the Registry of the German Pelvic Multicenter Study Group.Journal of clinical medicine · 2025Article
- Percutaneous sacroiliac screw fixation with a 3D robot-assisted image-guided navigation system : Technical solutions.Operative Orthopadie und Traumatologie · 2025Review
- Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium : Tips and tricks to be successful.Operative Orthopadie und Traumatologie · 2025Review
- [Minimally invasive techniques in pelvic ring and acetabular surgery].Operative Orthopadie und Traumatologie · 2025Article
- Surgical complications after fixation of minimally displaced lateral compression type 1 pelvic ring injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Percutaneous Screws for Column Support During Total Hip Reconstruction of Metastatic Disease of the Acetabulum.Arthroplasty today · 2024Article
- Intelligent robot-assisted fracture reduction system for the treatment of unstable pelvic fractures.Journal of orthopaedic surgery and research · 2024Article
- Perioperative outcome of minimally invasive stabilisation of bilateral fragility fractures of the sacrum: a comparative study of bisegmental transsacral stabilisation versus spinopelvic fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Comparative outcome of different treatment options for fragility fractures of the sacrum.BMC musculoskeletal disorders · 2022Article
- Fragility Fractures of the Pelvis: Current Practices and Future Directions.Current osteoporosis reports · 2022Review
- The grade of instability in fragility fractures of the pelvis correlates with impaired early mobilization.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Prospective assessment of key factors influencing treatment strategy and outcome of fragility fractures of the pelvis (FFP).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- 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 · 2022Article
- A computed tomography based survey study investigating the agreement of the therapeutic strategy for fragility fractures of the pelvis.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDespite an increasing number of fragility fractures of the pelvis (FFP) over the last 2 decades, controversy persists on their therapy with special regard to potential complications. Therefore, the present study compared the complication rates and in-hospital mortality of non-operative therapy, percutaneous treatment and open reduction and internal fixation (ORIF) of pelvic fractures in elderly patients.
methodsAll consecutive patients treated for FFP between January 2013 and December 2017 aged 65 years or older were retrospectively identified from an institutional database. Demographic data and specific patient data were collected with a special focus on pre-existing comorbidities. General and surgical complications, hospital length of stay (LOS) and mortality rates were compared.
results379 patients (81.3 ± 7.5 years; 81% female) were identified, 211 (55.7%) were treated non-operatively, 74 (19.5%) percutaneously and 94 (24.8%) with ORIF. The rate of general complications did not differ between treatment groups (non-operative: 21.8%; percutaneous: 28.4%; ORIF: 33.0%; p = 0.103). Surgery-related complications were twofold more frequent in the ORIF group as than in the percutaneously treated group (18.1% vs. 9.5%). The LOS differed significantly (non-operatively: 8.9 ± 7.1 days; percutaneous: 16.6 ± 8.2 days; ORIF: 19.3 ± 12.8 days; p < 0.001). Hospital mortality rate was higher in patients with ORIF (5.3%) than percutaneous treatment (0%) (p = 0.044).
conclusionsComplication rates and hospital mortality in elderly patients with FFPs are high and associated with long LOS. For surgical treatment of FFPs, the complication rate and mortality can be significantly reduced using percutaneous procedures compared to ORIF. Therefore, percutaneous surgery should be preferred where possible.
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