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Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis

Overview
Journal Orthop Surg
Specialty Orthopedics
Date 2023 Jul 12
PMID 37435891
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Abstract

Background: Fragility fractures of the pelvis (FFPs) are osteoporotic pelvic fractures or insufficiency pelvic fractures caused by the low energy injury or stress fracture in daily livings in the elderly more than 60 years, which the incidence is increasing with the aging population in our country. FFPs result in considerable morbidity and mortality and as well as massive financial burden on the already strained health systems throughout the world.

Methods: This clinical guideline was initiated by the Trauma Orthopedic Branch of Chinese Orthopedic Association; the External Fixation and Limb Reconstruction Branch of Chinese Orthopedic Association; the National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation; Senior Department of Orthopedics of Chinese PLA general hospital; the Third Hospital of Hebei Medical University. The grading of recommendations assessment, development and evaluation (GRADE) approach and the reporting items for practice guidelines in healthcare (RIGHT) checklist were adopted.

Results: 22 evidence based recommendations were formulated based on 22 most concerned clinical problems among orthopedic surgeons in China.

Conclusion: Understanding these trends through this guideline will facilitate better clinical care of FFP patients by medical providers and better allocation of resources by policy makers.

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References
1.
Wilson D, Kelly J, Rickman M . Operative management of fragility fractures of the pelvis - a systematic review. BMC Musculoskelet Disord. 2021; 22(1):717. PMC: 8380328. DOI: 10.1186/s12891-021-04579-w. View

2.
Beaule P, Antoniades J, Matta J . Trans-sacral fixation for failed posterior fixation of the pelvic ring. Arch Orthop Trauma Surg. 2005; 126(1):49-52. DOI: 10.1007/s00402-005-0069-2. View

3.
Matta J, Yerasimides J . Table-skeletal fixation as an adjunct to pelvic ring reduction. J Orthop Trauma. 2007; 21(9):647-56. DOI: 10.1097/BOT.0b013e31809810e5. View

4.
Dreher R, Buttgereit F, Demary W, Gortz B, Hein G, Kern P . [Insufficiency fractures in rheumatology. Case report and overview]. Z Rheumatol. 2006; 65(5):417-23. DOI: 10.1007/s00393-006-0089-5. View

5.
Rommens P, Hopf J, Herteleer M, Devlieger B, Hofmann A, Wagner D . Isolated Pubic Ramus Fractures Are Serious Adverse Events for Elderly Persons: An Observational Study on 138 Patients with Fragility Fractures of the Pelvis Type I (FFP Type I). J Clin Med. 2020; 9(8). PMC: 7463797. DOI: 10.3390/jcm9082498. View