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Review
. 2022 Dec;20(6):469-477.
doi: 10.1007/s11914-022-00760-9. Epub 2022 Nov 7.

Fragility Fractures of the Pelvis: Current Practices and Future Directions

Lynn Hutchings  1 , Darren M Roffey  1   2 , Kelly A Lefaivre  3   4   5
Affiliations
Review

Fragility Fractures of the Pelvis: Current Practices and Future Directions

Lynn Hutchings et al. Curr Osteoporos Rep. 2022 Dec.

Abstract

Purpose of review: To summarise the current evidence and clinical practices for patients with fragility fractures of the pelvis (FFP).

Recent findings: FFPs are an increasingly prevalent and recognised problem in the elderly population. Recent evidence indicates they have a significant impact on function, morbidity and mortality. While traditional management of FFPs was predominantly non-surgical, surgical options have been increasingly used, with a range of surgical methods available. To date, limited consensus exists on the optimal strategy for suitable patient selection, and clinical trials in this population have proved problematic. The management of FFPs requires a multi-faceted approach to enhance patient care, including adequate pain control, minimisation of complications and optimisation of medical management. Early return to mobilisation should be a key treatment goal to maintain functional independence. The selection of patients who will maximally benefit from surgical treatment, and the most appropriate surgical strategy to employ, remains contentious.

Keywords: Elderly; Fragility fractures of the pelvis (FFP); Osteoporosis; Pelvic fixation; Pelvic stabilisation; Percutaneous pelvic fixation.

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