Mid-term follow-up after surgical treatment of fragility fractures of the pelvis

Publication date: Available online 11 September 2018

Source: Injury

Author(s): Jonas Noser, Michael Dietrich, Simon Tiziani, Clément M.L. Werne, Hans-Christoph Pape, Georg Osterhoff

Abstract

Introduction

: Early operative treatment of fragility fractures of the pelvis (FFP) has been suggested to reduce pain and allow for earlier mobilization. The aim of this study was to determine mortality and functional outcome after operative treatment.

Patients and Methods

: Patients aged ≥ 60 years (n = 60; mean age 79 years, 53 female) who had operative treatment of a FFP and a follow-up of at least 2 years were identified and mortality was assessed using a national social insurance database. Those who had survived were contacted by phone and a modified Majeed Score was obtained.

Results

: At final follow up (62 months, range, 29 to 117), 32 patients (53.3 %) had deceased. One-year-mortality rate was 28.3 % and 2-year mortality was 36.7 %. Mortality was not linked to fracture type (p > .05). Complications during hospitalization occurred in 26/60 patients (43.3 %). Patients with a bilateral FFP had a longer hospitalization (18 vs. 11 days; p = .021). The mean modified Majeed score of surviving patients was 65 points (85.5 % of achievable maximum).

Conclusion

: Mortality and in-hospital complications remain high among patients with FFP even when treated operatively. A longer hospitalization can be expected in patients with posterior bilateral fractures.

Level of Evidence

: IV (Retrospective cohort study)

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