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The ageing population and the improved diagnostics have caused rising rates of pelvic ring fragility fractures.
According to the latest reports, fragility
fractures drastically increased in the aging population. However, the
literature lacks clear guidance on their diagnosis and management. Therefore,
the present review provided the advice on the assessment and management of
fragility fractures of the pelvis.
The ageing population and the improved diagnostics have caused
rising rates of pelvic ring fragility fractures. Affected persons manifest
significant co-morbidities, which need a wide variety of resources, extended
care, and substantial financial burden. Although, the record lacks clear
information on their diagnosis and control.
Pelvis fragility fractures act uniquely to the traditional
high-energy injuries among young adults, and consequently, their management
strategies are also distinctive. The primary goal of management strategy is to
regulate pain and recover pre-injury mobility. Early social care planning and
multidisciplinary input are necessary. Maximum patients can be operated
conservatively. Still, a selected group may need surgical fixation owing to
failure to improve with conservative treatment.
Early discovery of those patients and uncertain fracture
patterns is the key to avert progression to complex non-unions. Surgical
fixation needs specific attention than young adult fractures. Stabilization of
both posterior and anterior portions of the pelvic ring presents a satisfactory
biomechanical construct to permit full weight-bearing in this age group.
This article presents direction on the evaluation and
control of those injuries.
Orthopaedics and Trauma 2018; 32(2): 95-101
Fragility fractures of the pelvic ring
FerasYa'ish et al.
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