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European Journal of Trauma and Emergency Surgery

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01-02-2021 | Conservative Therapy | Original Article

Functional treatment strategy for fragility fractures of the pelvis in geriatric patients

Authors: Kensuke Hotta, Takaomi Kobayashi

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2021

Abstract

Purpose

We propose a functional treatment strategy for fragility fractures of the pelvis (FFP) in geriatric patients; patients with such fractures normally undergo 10 days of conservative therapy with full-weight bearing within pain limits. Conservative therapy for FFP is continued for patients who can stand with assistance, and surgical stabilization is recommended for patients with difficulty in auxiliary standing at 10 day postadmission. This study aimed to compare the outcomes of functional treatment between geriatric patients with FFP type I/II and those with FFP type III/IV, as described by Rommens et al.

Methods

We conducted a retrospective study of 84 geriatric patients who underwent functional treatment for FFP. Based on the results of the first examination, the patients were allocated to the following FFP types: type I/II (n = 53) and type III/IV (n = 31). Change in functional mobility scale described by Graham et al. from before injury to the final follow-up were compared between the groups.

Results

There was no significant difference in the functional mobility scale (0.25 ± 0.70 vs. 0.23 ± 0.56, p = 0.889) between FFP type I/II and FFP type III/IV.

Conclusion

The outcomes of the functional treatment for FFP for the geriatric patients did not differ significantly between the radiographic classifications. Functional treatment could, therefore, be a treatment option for almost all radiographic types of FFP, especially for geriatric patients. Further investigations are warranted.

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Title: Functional treatment strategy for fragility fractures of the pelvis in geriatric patients
Authors: Kensuke Hotta
Takaomi Kobayashi
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Keyword: Conservative Therapy
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01484-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Functional treatment strategy for fragility fractures of the pelvis in geriatric patients

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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