Sivapathasuntharam Dhanupriya, Smith Gillian, Master Mohammed-Ashraf, Bates Peter
Older Peoples Services, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Trauma Service, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Age Ageing. 2022 Mar 1;51(3). doi: 10.1093/ageing/afac063.
Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity and mortality in this age group, as well as a large financial burden on the health service. It is well established that early fixation of femoral neck and acetabular fractures improves outcomes and increases the chances of patients returning close to their premorbid functional baseline. However, fixation of fragility fractures of the pelvis is less well established in current practice. There has been recent development of novel stabilisation techniques for unstable pelvic fractures, designed to tackle the difficulties associated with fixation in poor bone quality, along with medical trials of parathyroid hormone analogue treatment. However, it is still current practice to manage nearly all fragility fractures of the pelvis conservatively. In this article, we consider whether the development of surgical stabilisation techniques for pelvic fragility fractures may have the potential to improve the well-described morbidity and mortality associated with them.
骨盆骨折在老年人群中越来越常见，是该年龄组发病和死亡的重大负担，同时也给医疗服务带来巨大经济负担。众所周知，早期固定股骨颈和髋臼骨折可改善预后，并增加患者恢复至病前功能基线水平的机会。然而，目前对于骨盆脆性骨折的固定治疗尚未明确。最近出现了用于不稳定骨盆骨折的新型稳定技术，旨在解决骨质不佳时固定的困难，同时也有甲状旁腺激素类似物治疗的医学试验。然而，目前几乎所有骨盆脆性骨折仍采用保守治疗。在本文中，我们探讨骨盆脆性骨折手术稳定技术的发展是否有可能改善与之相关的、已被充分描述的发病率和死亡率。
