About this trial
Lateral compression-1 (LC1) pelvic ring fragility fractures cause significant pain and morbidity. These fragility injuries are associated with prolonged immobility and long hospital stays. Currently there is no consensus on operative stabilization of LC1 pelvic fractures, nor are there evidence-based guidelines to aid in management of these injury types. Furthermore, there is variability in operative indications, improvement in pain and mobilization. The purpose of this study is to compare percutaneous screw fixation to non-operative management in symptomatic LC1 fragility fractures in elderly patients.
Eligibility criteria
Qualifiers
Patients >/= 60 years of age
Lateral compression 1 pelvic ring fractures confirmed with plain radiographs, CT and/or MRI
Low energy mechanism of injury or an insufficiency fracture without a precipitating event
Acute injury within four weeks of presentation
Disqualifiers
Dementia
Vertically or rotationally unstable pelvic ring injuries
Pathologic fracture secondary to tumor
Non-ambulatory prior to injury
Trial design
Treatments tested in this trial
- Percutaneous screw fixation
- Pain management
- Physical therapy
Treatment groups
Sponsors and collaborators
HealthPartners Institute
Lead sponsor
Orthopaedic Trauma Association
Collaborator
Allina Health System
Collaborator