Idioma:

Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment

Rommens, Pol Maria ; Hofmann, Alexander

Injury, 2013-12, Vol.44 (12), p.1733-1744 [Revista revisada por pares]

Netherlands: Elsevier Ltd

Texto completo disponible

Citas Citado por

Acciones

Título:
Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment
Autor: Rommens, Pol Maria ; Hofmann, Alexander
Materias: Aged ; Aged, 80 and over ; Female ; Fracture ; Fracture Fixation - methods ; Fractures, Bone - classification ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Fractures, Spontaneous - classification ; Fractures, Spontaneous - diagnostic imaging ; Fractures, Spontaneous - surgery ; Fragility fracture ; Geriatric patient ; Humans ; Insufficiency fracture ; Male ; Middle Aged ; Orthopedics ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - diagnostic imaging ; Osteoporosis - surgery ; Osteosynthesis ; Pelvic Bones - diagnostic imaging ; Pelvic Bones - injuries ; Pelvic Bones - surgery ; Pelvic fracture ; Radiography ; Retrospective Studies ; Sacral fracture
Es parte de: Injury, 2013-12, Vol.44 (12), p.1733-1744
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descripción: Abstract Due to the increasing life expectancy, orthopaedic surgeons are more and more often confronted with fragility fractures of the pelvis (FFPs). These kinds of fractures are the result of a low-energy impact or they may even occur spontaneously in patients with severe osteoporosis. Due to some distinct differences, the established classifications for pelvic ring lesions in younger adults do not fully reflect the clinical and morphological criteria of FFPs. Most FFPs are minimally displaced and do not require surgical therapy. However, in some patients, an insidious progress of bone damage leads to increasing displacement, nonunion and persisting instability. Therefore, new concepts for surgical treatment have to be developed to address the functional needs of the elderly patients. Based on an analysis of 245 consecutive patients with FFPs, we propose a novel classification system for this condition. This classification is based on morphological criteria and it corresponds with the degree of instability. Also in the elderly, these criteria are the most important for the decision on the type of treatment as well as type and extent of surgery. The estimation of the degree of instability is based on radiological and clinical findings. The classification gives also hints for treatment strategies, which may vary between minimally invasive techniques and complex surgical reconstructions.
Editor: Netherlands: Elsevier Ltd
Idioma: Inglés

Enlaces

View this record in MEDLINE/PubMed

Volver a la lista de resultados

Anterior Resultado 6 Siguiente Ir a la siguiente página

Realización: Logos de Redes Sociales:

Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment

Rommens, Pol Maria ; Hofmann, Alexander

Netherlands: Elsevier Ltd

Buscando en bases de datos remotas, por favor espere