Abstract
In a case–control study, 99 patients aged over 60 years and admitted to hospital with
an isolated single fracture of the pubic ramus were compared with age- and gender-matched
patients without fractures, in terms of morbidity and mortality. Ten years of follow-up
showed that the survival of patients with an isolated pubic ramus fracture was significantly
lower than that of controls. The mortality rates of patients with isolated pubic ramus
fractures at 1, 5 and 10 years were 24.7%, 64.4% and 93.8%, respectively. One-third
of the mortality was due to cardiovascular events. A 20.2% complication rate was found
during hospital admission, mainly caused by infectious diseases, including urinary
tract infection and pneumonia. Thirty-three percent of the patients were temporarily
or permanently admitted to a nursing home, because they were unable to mobilise independently.
In conclusion, our study found significant morbidity and mortality among patients
admitted to hospital for an isolated pubic ramus fracture, both during hospital admission
and during 10 years of follow-up.
Keywords
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Article info
Publication history
Accepted:
December 17,
2009
Identification
Copyright
© 2009 Published by Elsevier Inc. All rights reserved.
