Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis

Launched by BJÖRN-CHRISTIAN LINK · Feb 5, 2021

Keywords

ClinConnect Summary

This clinical trial is studying the best treatment options for older patients who have a fragility fracture of the pelvis, which usually happens from a small fall or minor injury. Specifically, the trial is looking at two treatment methods: a less invasive surgery to stabilize the pelvis and a non-surgical approach that involves managing pain and allowing the body to heal naturally. Researchers want to find out which of these treatments works better in helping patients recover and improve their quality of life over a year.

To be eligible for the trial, participants must be adults who have a specific type of pelvic fracture (FFP IIb or IIc) caused by a low-energy fall, and they should have been able to walk at least 4 meters before the injury. Throughout the trial, which will last about 18 months, participants will be randomly assigned to one of the two treatment groups. They will be followed up at 4 weeks, 4 months, and 1 year to assess their recovery, including their pain levels and ability to move. This research aims to help determine the best approach for treating this type of fracture, ultimately improving care for elderly patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Informed Consent as documented by signature
• • The fracture must be a fragility fracture. This means absence of high energy trauma.
• • Fragility fracture of the sacrum (FFP II b + c). Involvement of the ventral pelvic ring is not an exclusion criteria.
• • Able to walk 4 meters before fracture
• Exclusion Criteria:
• • Patients who had a high energy trauma.
• • FFP I or FFP III+IV were operative therapy is recommended
• • Patient who are not operable according to the anaesthesiologist on call.
• • Open fractures.
• • Revision surgeries.
• • Absent contact information
• • Living abroad and cannot participate in follow-up visits.
• • Withdrawal from the study.