Surgical Treatment of Low Energy Pelvic Fractures in the Elderly

Study Overview
=================
Brief Summary
-----------------
Since May 2010 the Department of Trauma, Basel University Hospital has performed surgical stabilisation of the posterior pelvic ring on 55 patients. These patients have not received a structured follow up examination or evaluation of outcome after surgery.

Detailed Description
-----------------
Functional outcome of elderly patients with surgical treatment of low energy pelvic ring fractures.

Official Title
-----------------
Surgical Treatment of Low Energy Pelvic Ring Fractures in the Elderly: Cross-sectional Single-centre Study From Basel, Switzerland

Conditions
-----------------
Fracture

Intervention / Treatment
-----------------
* Procedure: Outcome after surgery


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Elderly patients (age ≥55y ears) of any ethnic / sociodemographic background Pelvic ring fracture after low energy trauma affecting the posterior ring or both (posterior and anterior ring) Surgical stabilisation of the pelvic ring at Basel University Hospital between May 2010 and December 2014 Ambulatory before surgery Informed consent for study participation by the patient or legal representatives Exclusion Criteria: Refusal of consent by the patient or legal representatives to participate in the study Fractures within the last 3 months before follow-up Suspicion of a pathological fracture in the context of known or unknown malignancy Symptomatic low back pain with morphological changes, i.e. intervertebral disc displacement, neoplasm metastasis in the axial skeleton, spinal stenosis, vertebral fracture, spondylarthropathy etc. Pre-trauma mobility status that precludes achieving a post-trauma mobility status enabling the patient to perform the timed up and go test (e.g. patient in a wheel chair)

Ages Eligible for Study
-----------------
Minimum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Follow-up<br>Patients have not received a structured follow up examination or evaluation of outcome after surgery. Therefore this study aims at conducting a follow up examination regarding functional outcome, pain and radiologic healing in these patients. | Procedure: Outcome after surgery<br>* Functional outcome after surgical treatment of pelvic ring fractures Measurements: TUG-test score, ADLs index, maximal pain (VAS 1-10) at rest and experienced during TUG-test. One-year mortality, signs of healing, dislocation or other complications on anterior-posterior radiographs of the pelvis, living situation before and after the injury (at home/institutional placement)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TUG-Test through study completion, an average of 1 year | TUG test - according test description | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| activity of daily living (ADL) through study completion, an average of 1 year | ADL test - according test description | through study completion, an average of 1 year | 
| Pain test through study completion, an average of 1 year | Maximal pain (VAS 1-10) experienced during TUG-test and at rest at the day of follow up | through study completion, an average of 1 year | 
| Living Situation through study completion, an average of 1 year | Living situation before and after the injury (at home/institutional placement) according test procedure | through study completion, an average of 1 year | 
| 1-year mortality |  | one year after surgery | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Pelvic, Treatment Outcome