Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, No 25 Tai Ping Street, Jiang Yang District, Luzhou, 646000, Sichuan Province, People's Republic of China.
Sichuan Provincial Laboratory of Orthopaedic Engineering, Luzhou, Sichuan, People's Republic of China.
J Orthop Surg Res. 2023 Feb 15;18(1):108. doi: 10.1186/s13018-023-03591-1.
We aimed to investigate the adoption of treatment patterns for hip fractures combined with minimally invasive surgical treatment of fragility fractures of the pelvis in older individuals and reviewed and analysed the treatment efficacy and feasibility.
From September 2017 to February 2021, 135 older individuals with fragility fractures of the pelvis were admitted to our hospital. We retrospectively analysed patients who received surgical or conservative treatments. The general preoperative data, including sex, age, disease duration, cause of injury, AO/OTA type, BMI, bone mineral density, time from injury to admission, time from injury to surgery, ASA classification, number of underlying diseases, mean bed rest, clinical fracture healing, VAS score and Majeed functional score, were recorded.
The mean follow-up time for all 135 patients was 10.5 ± 3.6 months. Among 135 patients, 95 survived, and 11 and 29 patients passed after the surgical (mortality rate = 17.74%) and conservative (mortality rate = 39.73%) treatments, respectively. The average follow-up time for the 95 surviving patients was 14.5 ± 1.8 months. The Majeed and VAS scores for the operation group were significantly better than those of the conservative group. The bed rest and fracture healing times were also shorter in the surgical treatment group than in the conservative group.
The use of a minimally invasive surgical treatment combined with the geriatric hip fracture treatment model to treat fragility fractures of the pelvis improved the quality of life in older patients.
本研究旨在探讨微创综合治疗老年髋部骨折合并骨盆脆性骨折的治疗模式，并对其治疗效果和可行性进行回顾性分析。
回顾性分析 2017 年 9 月至 2021 年 2 月我院收治的 135 例老年骨盆脆性骨折患者，对手术和保守治疗患者的一般术前资料（性别、年龄、病程、致伤原因、AO/OTA 分型、BMI、骨密度、受伤至入院时间、受伤至手术时间、ASA 分级、合并基础疾病数量、平均卧床时间、临床骨折愈合情况、VAS 评分、Majeed 功能评分）进行记录。
所有 135 例患者的平均随访时间为 10.5±3.6 个月。135 例患者中，95 例存活，手术组（死亡率=17.74%）和保守组（死亡率=39.73%）各死亡 11 例和 29 例。95 例存活患者的平均随访时间为 14.5±1.8 个月。手术组的 Majeed 评分和 VAS 评分明显优于保守组，手术组的卧床时间和骨折愈合时间也明显短于保守组。
微创综合治疗联合老年髋部骨折治疗模式治疗骨盆脆性骨折可提高老年患者的生活质量。
