Book chapter
Specifics of Surgical Management: Pelvis
Senior Trauma Patients, pp 261-273
15 Mar 2022
Abstract
Fragility fractures of the pelvic ring are a clinical entity that include disruptions of the bony pelvis due to low-energy mechanisms and atraumatic events. These fractures are increasingly being recognized as a significant source of pain and disability in the elderly, and are associated with increased inpatient complications, need for institutionalized care, loss of independence, and increased mortality. These elderly patients may present with subacute or chronic symptoms, and the only presenting sign may be pain and progressive loss of mobility. Therefore, the clinician must maintain a high index of suspicion when evaluating elderly patients with ambulatory dysfunction after a low-energy or atraumatic mechanism. The management of fragility fractures of the pelvis involves a multidisciplinary approach. The primary objective is pain relief and early mobilization. The majority of these fractures are mechanically stable and are amenable to nonoperative management. Surgical intervention is considered in cases of pelvic ring instability, spinopelvic dissociation, and secondarily in patients with mechanically stable injuries but are unable to ambulate or transfer due to pain. In this chapter, we outline the various techniques we use for surgical management of fragility fractures of the pelvis within our practice.
Metrics
10 Record Views
Details
- Title
- Specifics of Surgical Management: Pelvis
- Creators
- Chima D. Nwankwo - NewYork–Presbyterian Brooklyn Methodist HospitalEdward R. Westrick - Allegheny Health NetworkGregory T. Altman - Allegheny Health NetworkDaniel T. Altman - Drexel University
- Contributors
- Hans-Christoph Pape (Editor)Stephen L. Kates (Editor)Christian Hierholzer (Editor)Heike A. Bischoff-Ferrari (Editor)
- Publication Details
- Senior Trauma Patients, pp 261-273
- Publisher
- Springer International Publishing; Cham
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Scopus ID
- 2-s2.0-85156152490
- Other Identifier
- 991021897306404721