Abstract
Fragility fractures of the pelvis (FFP) are a clinical entity with a rapidly growing
incidence among elderly women. The characteristics of these fractures are different
from those appearing after high-energy trauma. In 2013, the comprehensive FFP-classification
provided a new framework for analysis of these fractures. It is based on the estimation
of loss of stability in the pelvic ring. It is connected with recommendations for
surgical treatment, justified by the fact that higher instabilities will need surgical
stabilization. Since ist appearance, we can observe an increasing clinical-scientific
interest in FFP. Multiple publications use the FFP-classification studying the characteristics
of fractures, choice of treatment and outcome. Other studies focus on minimal-invasive
techniques for stabilization. The actual knowledge describes higher mortality rates
as the reference population, lower mortality rates after operative treatment but for
the price of surgery-related complications. Mobility, independency and quality of
life are worse than before the fracture, independent of the FFP-classification and
the type of treatment. The classification triggered a rapid increase of expertise.
This publication gives a detailed overview on the evolution from eminence to evidence.
Keywords
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Article info
Publication history
Published online: September 21, 2021
Accepted:
September 10,
2021
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In Press Journal Pre-ProofIdentification
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© 2021 Published by Elsevier Ltd.
