METHODS: A retrospective data analysis of 41 patients (F/M; 27/14) treated conservatively for low-energy LC1 or LC2 fractures was performed between 2017 and 2020. The fractures were classified using Rommens\' FFP classification. The primary outcome was mobility at 2 and 6 weeks, assessed through chart analysis and phone interviews. To determine factors influencing patient outcomes fracture consolidation was assessed via X-ray analysis. As a secondary outcome logistic regression and decision tree analyzes were conducted.
RESULTS: The mean age at the time of fracture was 79.8 ± 12.5 (SD) years. Thirty-two patients regained mobility (F/M; 25/7) after 2 weeks. Another 7 patients were mobile after 6 weeks (F/M; 2/5). Two male patients did not regain mobility. Male sex emerged as the sole independent predictor of non-mobility at 2 weeks (p = 0.0037). Age, BMI, pubic branch fracture dislocation >5 mm, analgesic use of opiates, corticosteroid therapy, alcohol and smoking showed no association with mobility recovery. Fracture consolidation was observed in 73.2 % of patients (F/M; 21/9), while one female had no consolidation. Ten patients (F/M; 5/5) were lost to follow-up.
CONCLUSIONS: Our study shows that LC1 (FFP IIb, IIc) and LC2 (FFP IIIc, IVb) fractures can be effectively treated conservatively, with successful remobilization within 6 weeks. The only independent negative predictor of early mobilization was male sex. Pubic branch displacement >5 mm did not affect the outcome. Therefore, conservative management proves to be a viable option for low-energy LC1 or LC2 fractures.
METHODS: IV (retrospective study).
方法:对2017年至2020年期间保守治疗低能量LC1或LC2骨折的41例患者(F/M;27/14)进行回顾性资料分析。使用Rommens\'FFP分类法对骨折进行分类。主要结果是2周和6周的流动性,通过图表分析和电话采访进行评估。为了确定影响患者预后的因素,通过X射线分析评估了骨折固结。作为次要结果,进行了逻辑回归和决策树分析。
结果:骨折时的平均年龄为79.8±12.5(SD)岁。32例患者在2周后恢复活动能力(F/M;25/7)。另外7例患者在6周后移动(F/M;2/5)。两名男性患者没有恢复活动能力。男性在2周时成为非活动性的唯一独立预测因子(p=0.0037)。年龄,BMI,耻骨支骨折脱位>5毫米,镇痛剂的使用,皮质类固醇治疗,酒精和吸烟与行动能力恢复无关.73.2%的患者出现骨折巩固(F/M;21/9),而一名女性没有巩固。10例患者(F/M;5/5)失访。
结论:我们的研究表明,LC1(FFPIIb,IIc)和LC2(FFPIIIc,IVb)骨折可有效保守治疗,在6周内成功重新动员。早期动员的唯一独立阴性预测因子是男性。阴枝位移>5mm不影响结果。因此,保守治疗被证明是低能量LC1或LC2骨折的可行选择。
方法:IV(回顾性研究)。