Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis.


Journal

Orthopaedic surgery
ISSN: 1757-7861
Titre abrégé: Orthop Surg
Pays: Australia
ID NLM: 101501666

Informations de publication

Date de publication:
Sep 2023
Historique:
revised: 10 04 2023
received: 24 11 2022
accepted: 14 04 2023
medline: 5 9 2023
pubmed: 12 7 2023
entrez: 12 7 2023
Statut: ppublish

Résumé

Fragility fractures of the pelvis (FFPs) are osteoporotic pelvic fractures or insufficiency pelvic fractures caused by the low energy injury or stress fracture in daily livings in the elderly more than 60 years, which the incidence is increasing with the aging population in our country. FFPs result in considerable morbidity and mortality and as well as massive financial burden on the already strained health systems throughout the world. This clinical guideline was initiated by the Trauma Orthopedic Branch of Chinese Orthopedic Association; the External Fixation and Limb Reconstruction Branch of Chinese Orthopedic Association; the National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation; Senior Department of Orthopedics of Chinese PLA general hospital; the Third Hospital of Hebei Medical University. The grading of recommendations assessment, development and evaluation (GRADE) approach and the reporting items for practice guidelines in healthcare (RIGHT) checklist were adopted. 22 evidence based recommendations were formulated based on 22 most concerned clinical problems among orthopedic surgeons in China. Understanding these trends through this guideline will facilitate better clinical care of FFP patients by medical providers and better allocation of resources by policy makers.

Sections du résumé

BACKGROUND BACKGROUND
Fragility fractures of the pelvis (FFPs) are osteoporotic pelvic fractures or insufficiency pelvic fractures caused by the low energy injury or stress fracture in daily livings in the elderly more than 60 years, which the incidence is increasing with the aging population in our country. FFPs result in considerable morbidity and mortality and as well as massive financial burden on the already strained health systems throughout the world.
METHODS METHODS
This clinical guideline was initiated by the Trauma Orthopedic Branch of Chinese Orthopedic Association; the External Fixation and Limb Reconstruction Branch of Chinese Orthopedic Association; the National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation; Senior Department of Orthopedics of Chinese PLA general hospital; the Third Hospital of Hebei Medical University. The grading of recommendations assessment, development and evaluation (GRADE) approach and the reporting items for practice guidelines in healthcare (RIGHT) checklist were adopted.
RESULTS RESULTS
22 evidence based recommendations were formulated based on 22 most concerned clinical problems among orthopedic surgeons in China.
CONCLUSION CONCLUSIONS
Understanding these trends through this guideline will facilitate better clinical care of FFP patients by medical providers and better allocation of resources by policy makers.

Identifiants

pubmed: 37435891
doi: 10.1111/os.13755
pmc: PMC10475682
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2195-2212

Subventions

Organisme : The Special Project Program of The National Clinical Research Center for Orthopaedics, Sports Medi⁃ cine & Rehabilitation

Informations de copyright

© 2023 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd.

Références

BMC Musculoskelet Disord. 2021 Aug 21;22(1):717
pubmed: 34419037
Arch Orthop Trauma Surg. 2006 Jan;126(1):49-52
pubmed: 16311761
J Orthop Trauma. 2007 Oct;21(9):647-56
pubmed: 17921841
Z Rheumatol. 2006 Sep;65(5):417-23
pubmed: 16944082
J Clin Med. 2020 Aug 03;9(8):
pubmed: 32756494
J Bone Joint Surg Br. 2001 Nov;83(8):1141-4
pubmed: 11764428
J Bone Joint Surg Am. 2016 Apr 6;98(7):584-90
pubmed: 27053587
PLoS One. 2020 Oct 8;15(10):e0238773
pubmed: 33031459
Bone. 2011 Apr 1;48(4):677-92
pubmed: 21145999
Osteoporos Int. 2006 Dec;17(12):1726-33
pubmed: 16983459
J Clin Med. 2021 Mar 21;10(6):
pubmed: 33801087
BMC Health Serv Res. 2004 Dec 22;4(1):38
pubmed: 15615589
J Trauma Acute Care Surg. 2013 May;74(5):1363-6
pubmed: 23609291
J Clin Med. 2021 May 26;10(11):
pubmed: 34073570
J Orthop Trauma. 2016 Sep;30(9):463-8
pubmed: 27144820
Sci Rep. 2021 Jul 9;11(1):14201
pubmed: 34244526
Clin Orthop Relat Res. 1977 Oct;(128):202-7
pubmed: 598158
J Orthop Sci. 2015 Jan;20(1):1-11
pubmed: 25323921
World J Emerg Surg. 2017 Jan 18;12:5
pubmed: 28115984
J Bone Joint Surg Br. 2009 Sep;91(9):1201-7
pubmed: 19721047
Arch Osteoporos. 2020 Apr 19;15(1):59
pubmed: 32306163
Int J Radiat Oncol Biol Phys. 2012 Oct 1;84(2):e195-200
pubmed: 22583605
J Orthop Trauma. 2009 Apr;23(4):299-308
pubmed: 19318875
J Neurointerv Surg. 2013 Sep 1;5(5):461-6
pubmed: 22684691
Arch Osteoporos. 2017 Nov 9;12(1):100
pubmed: 29124468
Injury. 2001 Sep;32(7):587-92
pubmed: 11524094
Am J Case Rep. 2020 Dec 29;21:e927776
pubmed: 33372173
J Orthop Trauma. 2012 May;26(5):269-77
pubmed: 22357081
Eur J Trauma Emerg Surg. 2019 Dec;45(6):1021-1029
pubmed: 29947849
J Trauma. 2010 Jul;69(1):122-7
pubmed: 20622587
AJNR Am J Neuroradiol. 2010 Feb;31(2):201-10
pubmed: 19762463
BMC Musculoskelet Disord. 2021 Aug 13;22(1):690
pubmed: 34388997
Arch Orthop Trauma Surg. 2016 Jul;136(7):921-7
pubmed: 27168134
Injury. 2015 Oct;46(10):1996-8
pubmed: 26275513
Treat Endocrinol. 2005;4(5):263-77
pubmed: 16185096
J Clin Med. 2020 Aug 06;9(8):
pubmed: 32781675
Chirurgia (Bucur). 2017 Sept-Oct;112(5):524-537
pubmed: 29088552
World J Clin Cases. 2020 Jun 26;8(12):2464-2472
pubmed: 32607323
Eur J Trauma Emerg Surg. 2021 Apr;47(2):507-513
pubmed: 31111165
Foot Ankle Int. 2012 Jun;33(6):526-33
pubmed: 22735329
J Am Acad Orthop Surg. 2013 Aug;21(8):458-68
pubmed: 23908252
Int Orthop. 2013 Jun;37(6):1147-50
pubmed: 23553117
Eur J Trauma Emerg Surg. 2021 Feb;47(1):37-45
pubmed: 33104870
J Orthop Res. 2017 Jul;35(7):1485-1493
pubmed: 27564231
J Am Osteopath Assoc. 2011 Oct;111(10):585-91
pubmed: 22065300
Clin Orthop Relat Res. 2012 Aug;470(8):2111-5
pubmed: 22383020
GMS Interdiscip Plast Reconstr Surg DGPW. 2020 Dec 16;9:Doc05
pubmed: 33391966
J Man Manip Ther. 2015 May;23(2):84-92
pubmed: 26109829
Arch Gerontol Geriatr. 2018 Jul - Aug;77:64-67
pubmed: 29684740
Zhonghua Wai Ke Za Zhi. 2018 Mar 1;56(3):201-205
pubmed: 29534414
Neuroimaging Clin N Am. 2019 Nov;29(4):515-527
pubmed: 31677727
Nat Rev Rheumatol. 2012 Jan 17;8(3):163-72
pubmed: 22249162
J Orthop Trauma. 2011 Jun;25(6):378-84
pubmed: 21577075
Injury. 2012 Aug;43(8):1326-9
pubmed: 22682148
Br Med Bull. 2020 May 15;133(1):105-117
pubmed: 32282039
Public Health Rep. 2004 May-Jun;119(3):263-70
pubmed: 15158105
J Bone Miner Res. 2007 Mar;22(3):465-75
pubmed: 17144789
CJEM. 2010 Nov;12(6):509-13
pubmed: 21073777
Orthop Clin North Am. 2015 Oct;46(4):511-21
pubmed: 26410639
Injury. 2013 Dec;44(12):1733-44
pubmed: 23871193
BMJ. 2004 Jun 19;328(7454):1490
pubmed: 15205295
Eur J Trauma Emerg Surg. 2015 Aug;41(4):349-62
pubmed: 26038048
Clin Orthop Relat Res. 2012 Aug;470(8):2116-23
pubmed: 22492171
Clin Orthop Relat Res. 2012 Aug;470(8):2124-31
pubmed: 22219004
Emerg Med J. 2010 Sep;27(9):722-3
pubmed: 20798106
Arch Orthop Trauma Surg. 2018 Jul;138(7):971-977
pubmed: 29700604
Spine (Phila Pa 1976). 2008 Sep 1;33(19):E699-707
pubmed: 18758351
Spine J. 2016 Feb;16(2):226-32
pubmed: 26282106
Arch Orthop Trauma Surg. 2009 Dec;129(12):1685-90
pubmed: 19629504
Eur J Trauma Emerg Surg. 2018 Apr;44(2):203-210
pubmed: 27167237
Arch Orthop Trauma Surg. 2020 Mar;140(3):321-329
pubmed: 31332508
Acta Orthop Belg. 2010 Dec;76(6):838-43
pubmed: 21302586
Indian J Orthop. 2019 Jan-Feb;53(1):128-137
pubmed: 30905993
EFORT Open Rev. 2020 May 5;5(5):299-311
pubmed: 32509335
Joint Bone Spine. 2003 Aug;70(4):287-9
pubmed: 12951312
Eur J Trauma Emerg Surg. 2020 Feb;46(1):107-113
pubmed: 30030551
Rev Esp Geriatr Gerontol. 2018 Mar - Apr;53(2):81-84
pubmed: 28784246
Arch Orthop Trauma Surg. 2010 Sep;130(9):1167-75
pubmed: 20521061
J Clin Med Res. 2019 Nov;11(11):725-728
pubmed: 31803314
Clin Orthop Relat Res. 2016 Jun;474(6):1417-21
pubmed: 26472585
Injury. 2017 Dec;48 Suppl 7:S34-S40
pubmed: 28882375
Eur J Trauma Emerg Surg. 2015 Aug;41(4):363-7
pubmed: 26037987

Auteurs

Jianzheng Zhang (J)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Licheng Zhang (L)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Chunbao Li (C)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.

Wei Chai (W)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.

Lihai Zhang (L)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Hua Chen (H)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Wei Zhang (W)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Zhiyong Hou (Z)

The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.
Group of Trauma Orthopaedics, Chinese Orthopaedic Association, Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Bin Chen (B)

Department of Orthopedics, Southern Hospital, Southern Medical University, Guangzhou, China.

Tiansheng Sun (T)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.

Peifu Tang (P)

Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, Beijing, China.
The National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, China.
The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.

Yingze Zhang (Y)

The Trauma Orthopedic Branch of Chinese Orthopedic Association, Shijiazhuang, China.
Group of Trauma Orthopaedics, Chinese Orthopaedic Association, Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

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