Impacto funcional de la fractura de pelvis por fragilidad. Descripción de una serie de casos consultados al servicio de Geriatría

Moral-Cuesta, Débora; Rodríguez-Sánchez, Isabel; Menéndez-Colino, Rocío; Díaz-Sebastián, Jesús; Alarcón, T.; Maestre, Isabel Martín; González-Montalvo, Juan Ignacio

doi:10.1016/j.regg.2017.06.002

Cited by 2 publications

(3 citation statements)

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“…Summary of evidence: The anatomical features of the pelvis in the elderly include trabecularization of the cortex of sacral ala, alar void, and areas of complete bone density loss. Another presentation is calcification of ligaments and joint space narrowing, while the ligament remains strong but less elastic 45,46 . The lateral stresses are mainly focused on sacral ala and the intersections between the cortical bones and cancellous bone on the bilateral sides of pubic symphysis 45–47 .…”

Section: Clinical Questionsmentioning

confidence: 99%

“…Another presentation is calcification of ligaments and joint space narrowing, while the ligament remains strong but less elastic. 45 , 46 The lateral stresses are mainly focused on sacral ala and the intersections between the cortical bones and cancellous bone on the bilateral sides of pubic symphysis. 45 , 46 , 47 The most common types are compression fractures of sacral ala and those at the intersections between cortical bones and cancellous bone on the bilateral sides of pubic symphysis.…”

Section: Clinical Questionsmentioning

confidence: 99%

“… 45 , 46 The lateral stresses are mainly focused on sacral ala and the intersections between the cortical bones and cancellous bone on the bilateral sides of pubic symphysis. 45 , 46 , 47 The most common types are compression fractures of sacral ala and those at the intersections between cortical bones and cancellous bone on the bilateral sides of pubic symphysis. Due to the differences in the anatomical structures of the pelvis and the mechanisms of injuries, the Young–Burgess and Tile classifications are not completely suitable for FFP in the elderly.…”

Section: Clinical Questionsmentioning

confidence: 99%

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

Zhang

et al. 2023

Orthopaedic Surgery

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BackgroundFragility 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.MethodsThis 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.Results22 evidence based recommendations were formulated based on 22 most concerned clinical problems among orthopedic surgeons in China.ConclusionUnderstanding 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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Section: Clinical Questionsmentioning

confidence: 99%