From: Operative management of fragility fractures of the pelvis – a systematic review
Author/Year | Mobility/Independence | ||
---|---|---|---|
Osterhoff et al. 2019 [24] | 36(24%) patients returned home in operative group compared to 19(23%) in non-operative group | Sanders et al. 2016 [30] | All patients returned to pre injury level of function at an average 625 days of follow up |
Balling et al. 2019 [25] | All patients discharged when able to mobilise upstairs | Collinge et al. 2016 [8] | Not described |
Oikonomidis et al. 2019 [26] | Mobility at discharge: 10(31%) crutches, 21(66%) walker/rollator, 1 (3%) unable to mobilise. Follow up at 7 months: 11(34%) independent, 7(22%) crutches, 6(19%) walker, 1(3%) immobile | Hopf et al. 2015 [19] | Complete mobility regained in 73% at discharge |
Walker et al. 2018 [27] | 75% patients discharged home in operative group compared to 20% in non-operative group (p = < 0.001). Significantly longer walking distance in operative vs non-operative at discharge (95.4 vs 35.2 ft p = < 0.01) | Arduini et al. 2015 [31] | Bed rest 4–6 weeks post op. At 6 months 11 patients (79%) had normal mobility, 1(7%) single crutch, 1 (7%) two crutches |
Pulley et al. 2018 [28] | Average day 1 mobilisation 102 ft | Wahnert et al. 2013 [32] | All patients could be mobilised to their pre-operative levels |
Hoch et al. 2017 (1) [6] | Not described | Gansslen et al. 2013 [7] | 24 patients full mobility pre injury and 1 patient mobile with walker. At discharge 14 (58%) regained full mobility. 7 (28%) partial weight bearing. 21 (88%) patients regained baseline mobility at frame removal (average 4 weeks) |
Eckardt et al. 2017 [29] | 73% independent at home, 13% lost independence. 60% Performed TUG test <30s | Mehling et al. 2012 [18] | Not described |
Hoch et al. 2017 (2) [14] | At 1 year 9(26%) patients mobile without aids, 6(18%) required 1 or 2 crutches, 12 (35%) with walker | Lau et al. 2010 [33] | At 3 months 53% baseline mobility isolated rami fractures, 62% LC1 and 56% LC2 fractures |
Vanderschot et al. 209 [34] | 5 point ADL score used. Average 3.26 pre op improved to 1.68 at follow up (P = < 0.0001) at an average of 9 months |