Clinical guideline for diagnosis and treatment of fragility fractures of the pelvis

Title: Clinical guideline for diagnosis and treatment of fragility fractures of the pelvis
Edition: Original
Classification: Standard guideline
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: It is a specialist medical personnel of secondary and tertiary medical institutions in China, including orthopedic doctors, geriatricians, rheumatologists, pain doctors, rehabilitation doctors and corresponding specialist nurses, as well as medical personnel of health care institutions
Evidence classification method: The literature grading criteria used in this guide assess the quality of research evidence body against the relevant methods of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Grading System Working Group and other working groups. The level of evidence and recommended intensity of the study were determined by combining the study design and other evidentiary features (Table 1). Establish the direction and strength of recommendations through the three-round Delphi method.
Development unit: 解放军总医院骨科学部
Registration time: 2022-05-12
Registration number: IPGRP-2022CN266
Purpose of the guideline: With the rapid growth of life expectancy and low fertility rates, the world's population is aging at an unprecedented rate, and the incidence of fragile fractures in old age is increasing year by year . In the past 20 years, due to the attention of the whole society and the promotion and application of multiple guidelines and consensus, the elderly hip fractures in the United States have decreased by 25.7%, while the Fragility Fractures of the Pelvis (FFP) in the elderly have increased by 24%, showing a trend of increasing year by year. Similar literature has been reported in Europe that the annual growth rate of fragile pelvic fractures in the elderly is about 1.5 times the population growth rate. At present, conservative treatment is still the mainstream thinking, but Loggers et al. retrospectively studied 117 cases of elderly fragile pelvic fractures, 49% of patients lost the ability to move independently, 34% of patients completely lost the ability to live independently, 40% of patients did not fully recover to pre-injury state, 1-year mortality rate was 23%, and as with elderly hip fractures, it had a high disability rate and mortality rate. In the twenty-first century, China has rapidly entered an aging population society, and elderly fragile pelvic fractures will become a clinical problem that needs to be solved and concerned urgently.