Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients

• DOI: 10.1007/s00068-021-01799-6
• Publication Date: 2021-10-11T18:24:35Z
• Authors: Pol Maria Rommens; Alexander Hofmann; Sven Kraemer; Miha Kisilak; Mehdi Boudissa; Daniel Wagner
• Keywords: Sports medicine; Medical record; Trauma Center

Fragility fractures of the pelvis (FFP) are a clinical entity with an increasing frequency. Indications for and type surgical treatment still matter debate.This retrospective study presents critically analyses results operative 140 patients FFP.Level-I trauma center.Demographic data, comorbidities, FFP-classification, stabilization (percutaneous (P-group) versus open procedure (O-group)), length hospital stay (LoS), general in-hospital complications, surgery-related living environment before admission, mobility destination at discharge were retracted from medical radiographic records. Patients asked participating in survey by telephone call about their quality life. SF-8 Physical Component Score (PCS) Mental (MCS) calculated as well Parker Mobility (PMS) Numeric Rating Scale (NRS).Mean age was 77.4 years 89.3% female. 92.1% presented one comorbidity, 49.3% two or more comorbidities. Median 18 days, postoperative 12 days. 99 (70.7%) received percutaneous procedure, 41 (29.3%) open. O-group had significantly longer LoS than P-group (p = 0.009). There no mortality. complications (43.9%) (19.2%) 0.006). needed often revisions (13.1%) 0.02). Whereas 85.4% all lived home only 28.6% returned < 0.001). The loss not influenced FFP-classes 0.47) 0.13). One-year mortality 9.7%. Mortality 0.428) 0.831). follow-up 40 months. PCS MCS moderate (32.43 resp. 54.42). PMS 5 NRS 4. Follow-up scores treatment.Patients FFP, who treated operatively, suffered high rate non-lethal general, complications. Open procedures induced revisions. physical low to moderate. Condition is treatment. FFP must be examined. Surgical fixation should obtain adequate stability, yet less invasive possible. advantages limitations different techniques have evaluated prospective studies.