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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2023

Open Access 01-12-2023 | Acetabular Fracture | Original Article

Trends and treatments of pelvic and acetabular fractures in Taiwan: facing an aging society

Authors: Shang-Lin Hsieh, Tsung-Li Lin, Yuan-Shun Lo, Chun-Yen Chen, Hao Wei Chang, Hsien-Te Chen, Yi-Chin Fong, Chun-Hao Tsai

Published in: Archives of Osteoporosis | Issue 1/2023

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Abstract

Summary

Pelvic-acetabular fractures lead to high mortality in elders and their association between different groups is not known. Our results indicate that older age with pelvic-acetabular fracture was significantly associated with mortality. This finding may help planning and allocating healthcare resources, risk stratification, and optimizing the treatment of pelvic fractures.

Purpose

Pelvic or acetabular fractures are among main outcomes of low-energy trauma such as falls, especially in older adults. They represent approximately 3–8% of all fractures and are associated with a high mortality rate ranging from 4 to 28%. This study is aimed at comparing the incidence and trends of hip fractures and pelvic-acetabular fractures in the Taiwanese general population, gender differences in adults aged over 65 years, and mortality risk between pelvic or acetabular fractures and hip fractures and surgery trends in patients with these fractures.

Methods

A retrospective study was conducted extracting data from the National Health Insurance Research Database of patients diagnosed with hip fracture and pelvic acetabular fracture between 2000 and 2018.

Results

Older age with pelvic-acetabular fracture was significantly associated with increased mortality. No significant differences were found in comorbidities between the two fracture groups. Results provide clear epidemiological evidence for trends in pelvic-acetabular fractures in Taiwan and demonstrate the need for better strategies to manage these fractures and comorbidities, particularly in older adults.

Conclusion

Findings of this study may aid in planning and allocating healthcare resources, risk stratification, and optimizing the treatment of pelvic fractures among older adults in Taiwan.
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Metadata
Title
Trends and treatments of pelvic and acetabular fractures in Taiwan: facing an aging society
Authors
Shang-Lin Hsieh
Tsung-Li Lin
Yuan-Shun Lo
Chun-Yen Chen
Hao Wei Chang
Hsien-Te Chen
Yi-Chin Fong
Chun-Hao Tsai
Publication date
01-12-2023
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-023-01255-5

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