Geriatric pelvic fractures (2)--management, conservative treatment, surgery and drug therapy at acute phase

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There are difficulties in the treatment of geriatric pelvic fractures. In current clinical practice in China, many geriatric pelvic fractures are managed by strict bed rest. However, more and more epidemiological data and studies have shown that long-term bed rest for geriatric pelvic fractures can bring about various complications, leading to a high long-term mortality. For unstable geriatric pelvic fractures, early fixation using minimally invasive techniques should be implemented to facilitate early mobilization. It is to be further explored whether early fixation is needed for relatively stable pelvic fractures. Special attention should be paid to the aged patients undergoing conservative treatment as complications are likely to happen in them and their fragile vessels are likely to get injured during fracture. At acute phase we should pay special attention to the hemodynamic situation of the patients, for timely intervention is essential for those with suspected arterial injury. It is important to understand the concept of holistic management of geriatric pelvic fractures in which anti-osteoporosis treatment and rehabilitation are indispensable. This article reviews the literature, home and abroad, regarding the treatment of osteoporotic pelvic fractures in the past decade, providing reference points for the Chinese doctors concerned. Key words: Pelvis; Fractures, bone; Osteoporosis; Treatment; Aged