Fragility fractures of the pelvis in the older population
Abstract Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabul...
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| Veröffentlicht in: | Age and ageing 2022-03, Vol.51 (3) |
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| creator | Sivapathasuntharam, Dhanupriya Smith, Gillian Master, Mohammed-Ashraf Bates, Peter |
| description | Abstract
Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them. |
| doi_str_mv | 10.1093/ageing/afac063 |
| format | Article |
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Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afac063</identifier><identifier>PMID: 35305085</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acetabulum ; Bones ; Clinical research ; Clinical trials ; Fixation ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Fractures ; Fractures, Bone - surgery ; Health services ; Hip Fractures - diagnostic imaging ; Hip Fractures - surgery ; Humans ; Injuries ; Morbidity ; Mortality ; Parathyroid ; Parathyroid hormone ; Pelvic Bones - diagnostic imaging ; Pelvic Bones - injuries ; Pelvic Bones - surgery ; Pelvis ; Pelvis - injuries ; Premorbid ; Spinal Fractures</subject><ispartof>Age and ageing, 2022-03, Vol.51 (3)</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2423-b7094e66287b110474f4be3dc8555d93bbd78e6d116a689c6dd7384f689034223</citedby><cites>FETCH-LOGICAL-c2423-b7094e66287b110474f4be3dc8555d93bbd78e6d116a689c6dd7384f689034223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35305085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sivapathasuntharam, Dhanupriya</creatorcontrib><creatorcontrib>Smith, Gillian</creatorcontrib><creatorcontrib>Master, Mohammed-Ashraf</creatorcontrib><creatorcontrib>Bates, Peter</creatorcontrib><title>Fragility fractures of the pelvis in the older population</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Abstract
Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them.</description><subject>Acetabulum</subject><subject>Bones</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Fixation</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures</subject><subject>Fractures, Bone - surgery</subject><subject>Health services</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Injuries</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Parathyroid</subject><subject>Parathyroid hormone</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Pelvic Bones - injuries</subject><subject>Pelvic Bones - surgery</subject><subject>Pelvis</subject><subject>Pelvis - injuries</subject><subject>Premorbid</subject><subject>Spinal Fractures</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkD1PwzAURS0EglJYGVEkFhjS-iuOPaKKAlIlFpgtx3aKqzQOdoLUf49LCgML03tXOu_q6QBwheAMQUHmam1du56rWmnIyBGYIMp4jjmhx2ACIcQ5LLE4A-cxblJEBcKn4IwUBBaQFxMglkGtXeP6XVYHpfsh2Jj5OuvfbdbZ5tPFzLXfyTfGhqzz3dCo3vn2ApzUqon28jCn4G358Lp4ylcvj8-L-1WuMcUkr0ooqGUM87JCCNKS1rSyxGheFIURpKpMyS0zCDHFuNDMmJJwWqcdEooxmYLbsbcL_mOwsZdbF7VtGtVaP0SJGYVCJBllQm_-oBs_hDZ9t6cEYpgRkqjZSOngYwy2ll1wWxV2EkG5lypHqfIgNR1cH2qHamvNL_5jMQF3I-CH7r-yL6PQgBw</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Sivapathasuntharam, Dhanupriya</creator><creator>Smith, Gillian</creator><creator>Master, Mohammed-Ashraf</creator><creator>Bates, Peter</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20220301</creationdate><title>Fragility fractures of the pelvis in the older population</title><author>Sivapathasuntharam, Dhanupriya ; Smith, Gillian ; Master, Mohammed-Ashraf ; Bates, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2423-b7094e66287b110474f4be3dc8555d93bbd78e6d116a689c6dd7384f689034223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acetabulum</topic><topic>Bones</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Fixation</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures</topic><topic>Fractures, Bone - surgery</topic><topic>Health services</topic><topic>Hip Fractures - diagnostic imaging</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Injuries</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Parathyroid</topic><topic>Parathyroid hormone</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Pelvic Bones - injuries</topic><topic>Pelvic Bones - surgery</topic><topic>Pelvis</topic><topic>Pelvis - injuries</topic><topic>Premorbid</topic><topic>Spinal Fractures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sivapathasuntharam, Dhanupriya</creatorcontrib><creatorcontrib>Smith, Gillian</creatorcontrib><creatorcontrib>Master, Mohammed-Ashraf</creatorcontrib><creatorcontrib>Bates, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sivapathasuntharam, Dhanupriya</au><au>Smith, Gillian</au><au>Master, Mohammed-Ashraf</au><au>Bates, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fragility fractures of the pelvis in the older population</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>51</volume><issue>3</issue><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>35305085</pmid><doi>10.1093/ageing/afac063</doi><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Acetabulum Bones Clinical research Clinical trials Fixation Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Fractures Fractures, Bone - surgery Health services Hip Fractures - diagnostic imaging Hip Fractures - surgery Humans Injuries Morbidity Mortality Parathyroid Parathyroid hormone Pelvic Bones - diagnostic imaging Pelvic Bones - injuries Pelvic Bones - surgery Pelvis Pelvis - injuries Premorbid Spinal Fractures |
| title | Fragility fractures of the pelvis in the older population |
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