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Osteoporotic Pelvic Fractures.
Dtsch Arztebl Int. 2018 Feb 02;115(5):70-80
Authors: Oberkircher L, Ruchholtz S, Rommens PM, Hofmann A, Bücking B, Krüger A
Summary
BACKGROUND: The estimated incidence of osteoporotic pelvic fractures amongst individuals over age 60 in Germany is 224 per 100 000 individuals per yr, and rising. Plenty of surgical remedy choices can be found, however medical long-term knowledge are missing.
METHODS: This evaluate is predicated on pertinent publications and tips retrieved by a selective literature search, and on the authors’ medical expertise.
RESULTS: Sufferers usually report a number of comparatively trivial traumatic incidents main as much as the fracture. They complain of ache within the hip, groin, or decrease lumbar area, or of low again ache and sciatica. A brand new classification scheme entitled Fragility Fractures of the Pelvis (FFP) takes the morphology of the fracture into consideration and can be utilized as an help to therapeutic decision-making (proof stage IV). The objective of remedy is early mobilization with enough ache reduction. Remoted anterior pelvic ring fractures (FFP I) and nondisplaced posterior pelvic ring fractures (FFP II) are normally secure and may be handled conservatively. Kind III and IV accidents are unstable and may usually be handled surgically.
CONCLUSION: Retrospective analyses have proven that osteoporotic pelvic fractures are related to decreased mobility and independence and with a one-year mortality starting from 9.5% to 27%. Potential therapeutic trials are urgently wanted.
PMID: 29439771 [PubMed – in process]