SynthesisArchives of orthopaedic and trauma surgery2023
Indications for surgical fixation of low-energy pelvic ring fractures in elderly: a systematic review.
Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- A novel stacked double-plate fixation with quadrilateral surface buttress screws for osteoporotic acetabular fractures in elderly patients: a prospective pilot case series study evaluating clinical and radiological outcomes.BMC musculoskeletal disorders · 2026Article
- Concomitant upper extremity fractures do not worsen outcomes in conservatively managed pelvic fractures: a cohort study of 1840 geriatric patients.Archives of orthopaedic and trauma surgery · 2026Article
- Operative versus non-operative treatment of fragility fractures of the pelvis: retrospective evaluation of one-year mortality and in-hospital complications.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Treatment Strategies for Isolated LC-1 Pelvic Injuries: A Comparative Cohort Study of Percutaneous Posterior-Only vs. Combined Anterior-Posterior Fixation.Journal of clinical medicine · 2025Article
- In vitro testing of a novel implant for angular stabilisation of the posterior pelvic ring.Journal of orthopaedic surgery and research · 2025Article
- Fragility Fractures of the Pelvis With Acetabular and Femoral Neck Fractures in Elderly Patients.Cureus · 2025Article
- Clinical efficacy analysis of anterior superior iliac spine 3D-printed guide plate-assisted sacroiliac screw placement for the treatment of pelvic fractures.Frontiers in surgery · 2025Article
- Article
- Letter of rebuttal to 'Comment on: Imaging of pelvic ring fractures in older adults and its clinical implications-a systematic review'.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Pelvic Ring Fractures in Older Adult Patients-Assessing Physician Practice Variation among (Orthopedic) Trauma Surgeons.Journal of clinical medicine · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are no generally accepted criteria for when and how to fixate osteoporotic pelvic ring fractures in elderly. This systemic review aims to summarize the currently available literature regarding the indications and methods for surgical fixation of fragility fractures of the pelvic ring in elderly patients after low-energy trauma. MATERIALS AND
methodsThe Pubmed and Embase databases were searched using the key words pelvic fractures, geriatric, fragility, osteoporosis, and surgical fixation, and their synonyms. Extracted data including the indication, method of operative fixation, and post-operative outcomes (pain levels, mobility, complications and mortality) were analyzed using descriptive statistics. The studies were too heterogeneous to perform a meta-analysis.
resultsEleven cohort studies (3 comparative and 8 noncomparative) were included. The methodological quality was poor to moderate; the studies were heterogeneous regarding study design and reported outcomes. In all included studies operative treatment for all fracture types was preceded by a period of conservative treatment comprising physiotherapy-guided full weight-bearing. Time to surgery differed widely. For posterior ring fixation, the majority of the included studies used minimally invasive surgery with trans-iliosacral screws. Five studies described a form of additional fixation of the anterior pelvic ring but did not report the indications.
conclusionsFixation of low-energy pelvic ring fractures in elderly is commonly performed after a period of conservative treatment, with persistent pain as the most frequent indication for fixation. Fracture classification based on stability seems to be of secondary importance. Timing for surgical fixation of the pelvic ring fracture in elderly patients remains diverse. Large well-designed comparative prospective studies and randomized controlled trials are needed to provide clearly substantiated guidelines.
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