Observational studyPloS one2021
Operative treatment of fragility fractures of the pelvis is connected with lower mortality. A single institution experience.
Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Accuracy in navigated percutaneous sacroiliac screw fixation: a systematic review and meta-analysis.BMC surgery · 2025Pooled it
- 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
- 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
- Preferential sacral fracture sites in fragility fractures of the pelvis type IVb and comparison of internal fixation methods: CT-based morphological mapping and finite element analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- One-year mortality rates of fragility fractures of the pelvis: a systematic review and meta-analysis.EFORT open reviews · 2025Article
- 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
- Disparities in the Diagnosis and Treatment of Osteoporosis in Persons with Cognitive Impairment and Dementia.Current osteoporosis reports · 2025Review
- Pelvis/acetabulum: management of geriatric injuries.OTA international : the open access journal of orthopaedic trauma · 2025Article
- 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 · 2025Article
- Lateral Compression Fragility Fractures of the Pelvis: Diagnosis, Classifications, and Modern Management.Current osteoporosis reports · 2024Review
- Innovative development of robot reduction system in geriatric pelvic fractures: A single-center case series in Beijing, China.Journal of orthopaedic translation · 2024Article
- Article
- 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 · 2024Article
- Epidemiology of fragility fracture of the pelvic ring: a regional population-based study in Northern Japan.Archives of osteoporosis · 2023Article
- Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study.Journal of clinical medicine · 2023Article
- 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
- 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
- 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
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFragility fractures of the pelvis (FFP) represent an increasing clinical entity. Until today, there are no guidelines for treatment of FFP. In our center, recommendation for operative treatment was given to all patients, who suffered an FFP type III and IV and to patients with an FFP type IIwith unsuccessful non-operative treatment. We performed a retrospective observational study and investigated differences between fracture classes and management alternatives. We hypothetized that operative treatment may reduce mortality. MATERIALS AND
methodsThe medical charts and radiographs of 362 patients were analysed. Patient demographics, FFP-classification, length of hospital stay (LoS), type of treatment, general and surgery-related complications, mortality, Short Form-8 physical component score (SF-8 PCS) and mental component score (SF-8 MCS), Parker Mobility Score (PMS) and Numeric Rating Scale (NRS) were documented.
results238 patients had FFP type II and 124 FFP type III and IV. 52 patients with FFP type II (21.8%) and 86 patients with FFP type III and IV (69.4%) were treated operatively (p<0.001). Overall mortality did not differ between the fracture classes (p = 0.127) but was significantly lower in the operative group (p<0.001). Median LoS was significantly higher in FFP type III and IV (p<0.001) and in operated patients (p<0.001). There were more in-hospital complications in patients with FFP type III and IV (p = 0.001) and in the operative group (p = 0.006). More patients of the non-operative group were mobile (p<0.001) and independent (p<0.001) at discharge. Half of the patients could not return in their living environment.203 of the 235 surviving patients (86%) answered the questionnaires after a mean follow-up time of 38 months. SF-8 PCS, SF-8 MCS and PMS did not differ between the fracture classes and treatment groups. Pain perception was higher in the operated group (p = 0.013).
conclusionIn our study, we observed that operative treatment of FFP provides low mortality rates, although LoS and in-hospital complications were higher in the operative group. At discharge, the non-operative group was more mobile and independent. At follow up, quality of life and mobility were comparable between the groups. Further prospective studies are needed to clarify the impact of operative treatment of FFP on mortality and functional outcome.
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