Scholarlink

Mini-Abstract <p>This study assessed the impact of surgical intervention versus non-operative management in older adults with fragility fractures of the pelvis. Among 128 patients, no significant difference in one-year mortality was found, surgical patients had similar discharge institutionalization rates. Surgery was deemed safe for immobile patients.</p> Purpose <p>Fragility fractures of the pelvis are increasing and are associated with high morbidity and mortality. The goal of this study was to assess whether surgical intervention in older adults experiencing severe pain during mobilization is associated with a lower incidence of complications compared to non-operative management for fragility fractures of the pelvis (FFP).</p> Methods <p>This retrospective single-center cohort study included 128 FFP patients between January 2021 and June 2023. Inclusion criteria were age ≥ 60 and isolated FFP. Data were collected from electronic medical records; one-year mortality data were verified through national registries. The primary outcome was one-year mortality; secondary outcomes included in-hospital complications, length of stay (LOS), discharge destination, and institutionalization. Statistical analyses included logistic regression and non-parametric tests.</p> Results <p>The median age was 85 years (IQR = 12), and 82.8% were female. There was no significant difference in one-year mortality between surgical and conservative groups (16.7% vs. 24.4%, <i>p</i> = 0.319). However, surgical patients had longer LOS (21 vs. 12 days, <i>p</i> = 0.002) with a median delay of surgery by 8 days (IQR 6) and more cardiovascular complications such as hypertension (16.7% vs. 3.5%, <i>p</i> = 0.009). Post-discharge institutionalization occurred in 22.6% of the total cohort.</p> Conclusion <p>Surgery in patients who cannot mobilize with an FFP is safe. Patients with displaced FFP’s (type 3 and 4) more often failed non-operative treatment and required surgery. Further studies should focus on identifying factors of non-operative treatment failure and should prioritize functional outcomes and quality of life.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Operative versus non-operative treatment of fragility fractures of the pelvis: retrospective evaluation of one-year mortality and in-hospital complications

  • 期刊论文

  • 发表日期：

    2026年2月16日

查看全文
  • Michiel Herteleer,
  • Lotte De Wever,
  • Sigrid Janssens,
  • Michaël Laurent,
  • Marian Dejaeger

摘要

Mini-Abstract

This study assessed the impact of surgical intervention versus non-operative management in older adults with fragility fractures of the pelvis. Among 128 patients, no significant difference in one-year mortality was found, surgical patients had similar discharge institutionalization rates. Surgery was deemed safe for immobile patients.

Purpose

Fragility fractures of the pelvis are increasing and are associated with high morbidity and mortality. The goal of this study was to assess whether surgical intervention in older adults experiencing severe pain during mobilization is associated with a lower incidence of complications compared to non-operative management for fragility fractures of the pelvis (FFP).

Methods

This retrospective single-center cohort study included 128 FFP patients between January 2021 and June 2023. Inclusion criteria were age ≥ 60 and isolated FFP. Data were collected from electronic medical records; one-year mortality data were verified through national registries. The primary outcome was one-year mortality; secondary outcomes included in-hospital complications, length of stay (LOS), discharge destination, and institutionalization. Statistical analyses included logistic regression and non-parametric tests.

Results

The median age was 85 years (IQR = 12), and 82.8% were female. There was no significant difference in one-year mortality between surgical and conservative groups (16.7% vs. 24.4%, p = 0.319). However, surgical patients had longer LOS (21 vs. 12 days, p = 0.002) with a median delay of surgery by 8 days (IQR 6) and more cardiovascular complications such as hypertension (16.7% vs. 3.5%, p = 0.009). Post-discharge institutionalization occurred in 22.6% of the total cohort.

Conclusion

Surgery in patients who cannot mobilize with an FFP is safe. Patients with displaced FFP’s (type 3 and 4) more often failed non-operative treatment and required surgery. Further studies should focus on identifying factors of non-operative treatment failure and should prioritize functional outcomes and quality of life.