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A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis

Kobayashi, Takaomi Akiyama, Takayuki Morimoto, Tadatsugu Hotta, Kensuke Mawatari, Masaaki 名古屋大学

2023.02

概要

Fragility fracture of the pelvis (FFP) is a common injury caused by low-energy trauma (eg,
fall from standing height or lower) in the elderly with loss of bone mineral density.1-6 The
prevalence has been rising with the aging of the world’s population.7-9 Nevertheless, the treatment
strategy for FFP remains the subject of ongoing debate.10-18 Rommens et al10-13 recently developed
a radiographic classification of FFP and a management protocol (Fig. 1): conservative therapy
is efficacious for FFP types I (anterior lesions only) and II (non-displaced posterior lesions).
If conservative therapy fails after days or weeks in FFP type I, magnetic resonance imaging is
performed to rule out occult sacral fractures. If conservative therapy fails within days in FFP
type II, surgical stabilization is recommended. In contrast, surgical stabilization is recommended
for FFP types III (displaced unilateral posterior lesions) and IV (displaced bilateral posterior
lesions). Surgery is performed after obtaining written informed consent from the patient or their
relatives in all cases. ...

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参考文献

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References End

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