Mika F Rollmann1, Steven C Herath2, Florian Kirchhoff2, Benedikt J Braun2, Joerg H Holstein2, Tim Pohlemann2, Michael D Menger3, Tina Histing2. 1. Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany. Electronic address: mika.rollmann@uks.eu. 2. Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany. 3. Institute for Clinical & Experimental Surgery, Saarland University, Homburg/Saar, Germany.
Abstract
OBJECTIVES: To analyze the changes in demographic data stratified for age, sex and type of injury of elderly patients suffering from pelvic ring fractures over a 22-year observation period. DESIGN/ SETTING: Data has been collected prospectively, multi-centrically in hospitals participating in the German Pelvic Trauma Registry. PATIENTS: We analyzed the data of 5665 patients with an age ≥60years included in the German Pelvic Trauma Registry from 1991 to 2013. KEY RESULTS: Over the 22-year study period the frequency of type A fractures decreased significantly from 84.8% to 43.9%, while type C and, in particular, type B fractures significantly increased from 7.0% and 8.2% to 14.3% and 41.8%. In patients between 60 and 70 years of age the frequency of type B and C fractures was higher compared to patients >70years. The proportion of female patients, who represent the majority of the cohort (75%), was stable over the entire observation period. Interestingly, type A fractures were found more frequently in females, while type B and C fractures were found more frequently in males. CONCLUSIONS: With the predicted demographic change and a shift toward more severe injury patterns (type B and C pelvic fractures) in the elderly population, trauma departments will need to develop specific surgical concepts for geriatric patients with pelvic ring fractures.
OBJECTIVES: To analyze the changes in demographic data stratified for age, sex and type of injury of elderly patients suffering from pelvic ring fractures over a 22-year observation period. DESIGN/ SETTING: Data has been collected prospectively, multi-centrically in hospitals participating in the German Pelvic Trauma Registry. PATIENTS: We analyzed the data of 5665 patients with an age ≥60years included in the German Pelvic Trauma Registry from 1991 to 2013. KEY RESULTS: Over the 22-year study period the frequency of type A fractures decreased significantly from 84.8% to 43.9%, while type C and, in particular, type B fractures significantly increased from 7.0% and 8.2% to 14.3% and 41.8%. In patients between 60 and 70 years of age the frequency of type B and C fractures was higher compared to patients >70years. The proportion of female patients, who represent the majority of the cohort (75%), was stable over the entire observation period. Interestingly, type A fractures were found more frequently in females, while type B and C fractures were found more frequently in males. CONCLUSIONS: With the predicted demographic change and a shift toward more severe injury patterns (type B and C pelvic fractures) in the elderly population, trauma departments will need to develop specific surgical concepts for geriatric patients with pelvic ring fractures.
Authors: Ludwig Oberkircher; Steffen Ruchholtz; Pol Maria Rommens; Alexander Hofmann; Benjamin Bücking; Antonio Krüger Journal: Dtsch Arztebl Int Date: 2018-02-02 Impact factor: 5.594
Authors: Leon Marcel Faust; Alexander Martin Keppler; Eduardo Suero; Johannes Gleich; Leonard Lisitano; Wolfgang Böcker; Carl Neuerburg; Daniel Pfeufer Journal: Eur J Trauma Emerg Surg Date: 2022-03-13 Impact factor: 2.374