Percutaneous operative treatment of fragility fractures of the pelvis may not increase the general rate of complications compared to non-operative treatment

• DOI: 10.1007/s00068-021-01660-w
• Publication Date: 2021-04-03T15:02:42Z
• Authors: Laura Gericke; Annemarie Fritz; Georg Osterhoff; Christoph Josten; Philipp Pieroh; Andreas Höch
• Keywords: Sports medicine

Despite an increasing number of fragility fractures the pelvis (FFP) over last 2 decades, controversy persists on their therapy with special regard to potential complications. Therefore, present study compared complication rates and in-hospital mortality non-operative therapy, percutaneous treatment open reduction internal fixation (ORIF) pelvic in elderly patients.All consecutive patients treated for FFP between January 2013 December 2017 aged 65 years or older were retrospectively identified from institutional database. Demographic data specific patient collected a focus pre-existing comorbidities. General surgical complications, hospital length stay (LOS) compared.379 (81.3 ± 7.5 years; 81% female) identified, 211 (55.7%) non-operatively, 74 (19.5%) percutaneously 94 (24.8%) ORIF. The rate general complications did not differ groups (non-operative: 21.8%; percutaneous: 28.4%; ORIF: 33.0%; p = 0.103). Surgery-related twofold more frequent ORIF group as than (18.1% vs. 9.5%). LOS differed significantly (non-operatively: 8.9 7.1 days; 16.6 8.2 19.3 12.8 < 0.001). Hospital was higher (5.3%) (0%) (p 0.044).Complication FFPs are high associated long LOS. For FFPs, can be reduced using procedures surgery should preferred where possible.