Retrospective analysis of management of pelvic fractures in elderly patients

Abstract text (incl. references and figure legends)

Introduction:Pelvic fractures in elderly patients (PFE) represents a challenge for orthopedic trauma surgeon. More than 50% of all pelvic fractures occur in patients older than 65 years. Incidence of PFE is increasing, with osteoporosis being the most important risk factor. At our department approximately 200 of PFE per year are treated. Treatment protocol was initiated with early in hospital pain-controlled mobilization.Material and methods:We performed retrospective analysis of PFE over a one-year period. Inclusion criteria were 1.) age over 65 years 2.) radiologically confirmed pelvic fracture 3.) patient treated at level 1 trauma center and follow up at our outpatient clinic. Demographic information, mechanism of injury, length of hospital stays where indicated, mobility, type of treatment and place of discharge was documented.Results:In the year 2018 we treated 190 elderly patients with pelvic fractures. Average age was 83 years, females representing 82% of patients. The majority of PEF (80%) were low energy fractures. Eight were treated operatively, half of operated patients sustained low energy fracture. Average length of stay was 6 days and majority of patients returned to their original place of domicile. Before injury 30% of patients were dependent on mobility aid and at the last follow up after injury 75% patients were depended respectively. 4 (2%) patients remained immobile after the injury that weren"t immobile before the injury. 6% mortality was noted at hospital records.Conclusion:Although majority of patients were treated nonoperatively, majority remained mobile. After the end of follow up the need for walking aid increased significantly, but patient were ambulatory at the end of follow up. Further analysis is necessary. Reference: Rommens PM, Boudissa M, Krämer S, et al. Operative treatment of fragility fractures of the pelvis is connected with lower mortality. A single institution experience. PLoS One. 2021 Jul 9;16(7):e0253408.

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