• Injury · Apr 2020

    Review Case Reports

    The diagnostic and management challenge for concomitant fragility fractures of pelvis and hip - a Case series with literature review.

    • Bernadette Lok Yiu Cheng, Janice Chi Kay Lau, King Him Chui, Kwok Leung Tiu, Kin Bong Lee, and Wilson Li.
    • BLY Cheng, Department of Orthopaedics & Traumatology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong. Electronic address: cly919@ha.org.hk.
    • Injury. 2020 Apr 1; 51 (4): 991-994.

    BackgroundFragility fractures of hip and pelvis in the elderly population are common. They do co-exist but are frequently missed and undertreated.Methods And Results3 cases of concomitant fragility fractures of hip and pelvis were identified. Hip fractures were treated with cemented hemiarthroplasty or cephalomedullary nail fixation, while pelvic fractures were treated with percutaneous screw fixation in same general anesthesia session. Anti-osteoporotic treatments were offered. Subjects were followed up for 1 year.ConclusionSurgical treatment of fragility hip and pelvic fractures improves fracture stability, achieves better pain relief and allows earlier mobilization. Anti-osteoporotic treatment is essential as secondary prevention in fragility fractures.Copyright © 2020. Published by Elsevier Ltd.

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