Table 3 Complications and reoperations
From: Operative management of fragility fractures of the pelvis – a systematic review
Reoperations (%) | Indications | Other | |
|---|---|---|---|
Osterhoff et∼al. 2019 [24] | No reoperations reported | – | In hospital complications more common in operative group (35%) vs non-operative group (14%) p = < 0.05 |
Balling et∼al. 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 et∼al. 2019 [26] | 1 (3%) | Implant failure requiring removal | 2 pneumonia, 4 UTI |
Walker et∼al. 2018 [27] | No reoperations reported | – | 1 GI bleed in operative group. 1 GI bleed and 2 COPD exacerbations in non-operative group. |
Pulley et∼al. 2018 [28] | No reoperations reported | – | no complications |
Hoch et∼al. 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 et∼al. 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 et∼al. 2017 (2) [14] | 2 (6%) | 1 screw malposition, 1 evacuation haematoma | 3 asymptomatic PMMA leaks, 1 Pulmonary embolism |
Sanders et∼al. 2016 [30] | No reoperations reported | – | No complications |
Collinge et∼al. 2016 [8] | No reoperations reported | – | 1 extravasation of calcium phosphate into sacroiliac joint - asymptomatic |
Hopf et∼al. 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 et∼al. 2015 [31] | No reoperations reported | – | 1 intrapelvic iliac screw from spinopelvic fixation - asymptomatic and left in situ |
Wahnert et∼al. 2013 [32] | No reoperations reported | – | No complications |
Gansslen et∼al. 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 et∼al. 2012 [18] | No reoperations reported | – | 1 temporary L5 nerve palsy |
Lau et∼al. 2010 [33] | No reoperations reported | – | 1 fibrous non-union. 1 permanent L5 nerve palsy |
Vanderschot et∼al. 2009 [34] | 2 (11%) | 2 evacuation post op haematoma | – |