International Orthopaedics (SICOT) (2017) 41:1813–1824 DOI 10.1007/s00264-017-3567-2 ORIGINAL PAPER Implementation of a standardized protocol to manage elderly patients with low energy pelvic fractures: can service improvement be expected? 1,2,3 3,4 5 6 Nikolaos K. Kanakaris & Tess Greven & Robert M. West & Arie B. Van Vugt & 3,7 Peter V. Giannoudis Received: 16 March 2017 /Accepted: 30 June 2017 /Published online: 21 July 2017 The Author(s) 2017. This article is an open access publication Abstract was 85.8 years (range 67–108). Use of antiosteoporotics was Purpose The incidence of low energy pelvic fractures (FPFs) associated with a shorter time of healing (p = 0.036). Patients in the elderly is increasing. Comorbidities, decreased bone- treated according to the algorithm showed a significant pro- quality, problematic fracture fixation and poor compliance tection against malunion (p < 0.001). Also, adherence to the represent some of their specific difficulties. In the absence of algorithm allowed more patients to return to their pre-injury uniform management, a standard operating procedure (SOP) mobility status (p =0.039). was introduced to our unit, aiming to improve the quality of Conclusions The use of antiosteoporotic medication in elder- services provided to these patients. ly patients with fragility pelvic fractures
International Orthopaedics – Springer Journals
Published: Jul 21, 2017
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