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2016, Number 2

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Revista Cubana de Ortopedia y Traumatología 2016; 30 (2)

Osteoporotic pubic rami fracture: A benign injury?

Angulo TM, Fernández LT, Hidalgo MB, Ungría MJ, Gros BB, Fernández LN, Peguero BA

Language: Spanish
References: 27
Page: 172-182
PDF size: 236.30 Kb.


ABSTRACT

Objective: we analysed patients treated for osteoporotic rami fractures in our hospital.
Methods: the records of patients were examined presenting to the emergency department with osteoporotic low-impact rami fractures. Demographic, previously ambulatory ability, diagnosis, associated injuries; comorbidity, complications, and 1-year mortality were described.
Results: 60 patients (51 women) with mean age of 83,5 (range, 65.1-99) years had osteoporotic rami fracture. Six patients had previous rami fracture and 23 a osteoporotic fracture. Twenty-seven patients had other pelvic fracture associated. Three patients had other extra pelvic fracture and six had crane encephalic trauma. Forty-one patients had some kind of complication at follow up. Eight patients (13.3 %) were admitted to hospital with median length of stay in the hospital of 18 days. Eight (13.3 %) patients died within 1 year of injury.
Conclusions: low-impact rami fractures affect predominantly elderly women with pre-existing comorbidities. A substantial amount of complications is described in these fractures with high annual mortality. Early rehabilitation therapy with adequate analgesic therapy is recommended.


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