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Table 3 Complications and reoperations

From: Operative management of fragility fractures of the pelvis – a systematic review

  Reoperations (%) Indications Other
Osterhoff etal. 2019 [24] No reoperations reported In hospital complications more common in operative group (35%) vs non-operative group (14%) p = < 0.05
Balling etal. 2019 [25] 1 (2%) evacuation post op haematoma 1 guidewire perforation into spinal canal, 4 cases cement extrusion - 2 into canal, 2 into soft tissue. All asymptomatic
Oikonomidis etal. 2019 [26] 1 (3%) Implant failure requiring removal 2 pneumonia, 4 UTI
Walker etal. 2018 [27] No reoperations reported 1 GI bleed in operative group. 1 GI bleed and 2 COPD exacerbations in non-operative group.
Pulley etal. 2018 [28] No reoperations reported no complications
Hoch etal. 2017 (1) [6] 4 (13%) 3 screw malposition, 1 revision for infection 2 patients (4%) required transfusion post op. Medical complications 8% non-operative group, 18% operative group
Eckardt etal. 2017 [29] 13 (26%) 1 screw malposition, 1 infection, 9 for symptomatic implant loosening, 2 patients revised for implant loosening required further revision for non-union
Hoch etal. 2017 (2) [14] 2 (6%) 1 screw malposition, 1 evacuation haematoma 3 asymptomatic PMMA leaks, 1 Pulmonary embolism
Sanders etal. 2016 [30] No reoperations reported No complications
Collinge etal. 2016 [8] No reoperations reported 1 extravasation of calcium phosphate into sacroiliac joint - asymptomatic
Hopf etal. 2015 [19] 3 (10%) 1 screw malposition, 2 evacuation haematoma 1 intraoperative bleed requiring 3 units blood. 2 cases HAP and 2 Cases UTI in 3 patients
Arduini etal. 2015 [31] No reoperations reported 1 intrapelvic iliac screw from spinopelvic fixation - asymptomatic and left in situ
Wahnert etal. 2013 [32] No reoperations reported No complications
Gansslen etal. 2013 [7] No unplanned reoperations reported All patients required planned removal of external fixator in outpatient setting 2 pin site infections managed with antibiotics. 1 pin loosening.
Mehling etal. 2012 [18] No reoperations reported 1 temporary L5 nerve palsy
Lau etal. 2010 [33] No reoperations reported 1 fibrous non-union. 1 permanent L5 nerve palsy
Vanderschot etal. 2009 [34] 2 (11%) 2 evacuation post op haematoma
  1. UTI Urinary Tract Infection, GI Gastrointestinal, COPD Chronic Obstructive Pulmonary Disease, PMMA Polymethylmethacrylate, HAP Hospital Acquired Pneumonia