(1) Royal London Pelvic Unit, Royal London Hospital, United Kingdom
(2) Care of the Elderly Department, Royal London Hospital, United Kingdom
Corresponding authors Emails: email@example.com firstname.lastname@example.org
Epidemiological studies have shown that the incidence of fragility fractures of the pelvis in the elderly population is increasing due to ageing. These fractures are often classified as stable and managed predominantly by medical teams. Aggressive surgical management of the neck of femur fractures has resulted in reduced morbidity and mortality in patients. There are no evidence-based guidelines for man-aging fragility fractures of the pelvis. Our aim was to review the literature and compare operative versus non-operative management of fragility fractures of the pelvis.
Materials and Methods
Based on the published results, we question whether these fractures have a significant morbidity and mortality to warrant a change in management. We questioned whether the posterior ring should be routinely imaged, which patient groups may benefit from operative intervention, what techniques are available to provide pain relief and to enable full weight bearing to support early mobilisation versus an aesthetic risk and complications of surgery.
Differences in healthcare systems, rehabilitative provision and social support among hospitals make comparisons between retrospective studies difficult.
Performing randomised controlled trials to develop evidence-based protocols can reduce the morbidity and mortality in the elderly with fragility fractures of the pelvis.