Evidence map›Paper›PMID 42101505›Full record

ArticleZeitschrift fur Gerontologie und Geriatrie2026

Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany.

Christoph Beyersdorf, Helmut Frohnhofen, Jana Albers, Henriette Louise Möllmann, David Latz, Uwe Maus, Carla Stenmanns

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Article in Zeitschrift fur Gerontologie und Geriatrie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Christoph BeyersdorfDepartment of Orthopedics and Trauma Surgery, Age Trauma Center, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany. Christoph.Beyersdorf@med.uni-duesseldorf.de.
Helmut FrohnhofenDepartment of Orthopedics and Trauma Surgery, Age Trauma Center, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
Jana AlbersHeinrich-Heine-University Duesseldorf, Universitätsstraße 1, 40225, Duesseldorf, Germany.
Henriette Louise MöllmannDepartment of Oral and Maxillofacial Surgery, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Duesseldorf, Germany.
David LatzDepartment of Orthopedics and Trauma Surgery, Age Trauma Center, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
Uwe MausDepartment of Orthopedics and Trauma Surgery, Age Trauma Center, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.
Carla StenmannsDepartment of Orthopedics and Trauma Surgery, Age Trauma Center, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveOrthogeriatric co-management (OGCM) significantly improves outcomes in older adults with hip fractures; however, it remains unclear whether older adults with pelvic fractures can similarly benefit. This study aimed to compare clinical and geriatric profiles of older adults with hip fractures and pelvic fractures across relevant medical and geriatric domains. Demonstrating comparable profiles would support future prospective studies evaluating OGCM in patients with pelvic fractures.

methodsWe retrospectively analyzed data from an ongoing observational study at our institution including 611 hospitalized adults aged 70 years or older with hip fractures (n = 535) or pelvic fractures (n = 76). Variables included age, functional status, comorbidity burden and incidence of delirium. Group comparisons were performed using the χ

resultsThe median age was 85 years (interquartile range 80-89 years) and 69% of patients were female. Hip fractures accounted for 87.6% of cases and pelvic fractures for 12.4%. Both groups showed a high burden of comorbidity and geriatric impairment, including cognitive impairment, functional limitations, frailty and medical comorbidity. Most clinical parameters were comparable between groups. Although surgery was performed much more frequently in the hip fracture group, no significant differences in the overall medical and geriatric profiles were observed except for transfusion rate and postoperative delirium.

conclusionOlder adults with hip fractures and pelvic fractures have largely comparable clinical and geriatric profiles. Given the established benefits of OGCM in hip fracture care, a similar approach could also benefit patients with pelvic fractures. This hypothesis should be evaluated in future prospective interventional studies.

Indexed as

Co-managementComparative analysisFragility fracturesOrthogeriatric careOsteoporotic fractures

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PMID42101505

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