ArticleBMC musculoskeletal disorders2021
Which factors influence treatment decision in fragility fractures of the pelvis? - results of a prospective study.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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
- Explainable Multimodal Machine Learning Predicts 90-Day Treatment Failure in Older Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 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
- Treatment of Type IV Fragility Fractures of Pelvis With Robotic-Assisted Minimally Invasive Triangular Fixation.Orthopaedic surgery · 2025Article
- Article
- Current consensus and clinical approach to fragility fractures of the pelvis: an international survey of expert opinion.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Pelvic Ring Fractures in Older Adult Patients-Assessing Physician Practice Variation among (Orthopedic) Trauma Surgeons.Journal of clinical medicine · 2023Article
- Cemented Sacroiliac Screw Fixation versus Conservative Therapy in Fragility Fractures of the Posterior Pelvic Ring: A Matched-Pair Analysis of a Prospective Observational Study.Journal of clinical medicine · 2023Article
- Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis.Orthopaedic surgery · 2023Article
- Spinal anesthesia in the percutaneous fixation of fragility fractures of the pelvis.Trauma case reports · 2022Article
- Fragility Fractures of the Pelvis: Current Practices and Future Directions.Current osteoporosis reports · 2022Review
- 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
- A computed tomography based survey study investigating the agreement of the therapeutic strategy for fragility fractures of the pelvis.Scientific reports · 2022Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the present study was to describe specific characteristics of patients suffering from pelvic fragility fractures and evaluate factors that might influence treatment decisions which may optimize treatment pathways and patient mobility in the future.
methodsA prospective study with patients suffering from fractures of the pelvis and aged 60 years or above was performed between 2012 and 2016. Data acquisition took place at admission, every day during hospitalization and at discharge.
resultsOne hundred thirty-four patients (mean age of 79.93 (± 7.67) years), predominantly female (84%), were included. Eighty-six patients were treated non-operatively. Forty-eight patients underwent a surgical procedure. The main fracture types were B2 fractures (52.24%) and FFP IIb fractures (39.55%). At the time of discharge, pain level (NRS) could be significantly reduced (p < 0.001). Patients who underwent a surgical procedure had a significantly higher pain level on day three and four compared to the non-operative group (p = 0.032 and p = 0.023, respectively). Significant differences were found in the mobility level: patients treated operatively on day four or later were not able to stand or walk on day three as compared to non-operatively treated patients. Regarding B2 fractures, a significantly higher mobility level difference between time of admission and discharge was found in patients treated with a surgical procedure compared to patients treated non-operatively (p = 0.035).
conclusionsFracture type, mobility level and pain level influence the decision to proceed with surgical treatment. Especially patients suffering from B2 fractures benefitted in terms of mobility level at discharge when treated operatively. LEVEL OF EVIDENCE: II.
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