Geriatric Lateral Compression 1 Pelvic Fractures

Description

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.

Conditions

Lateral Compression 1 Pelvic Fracture

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Study Overview

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Study Details

Study overview

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.

Percutaneous Screw Fixation for Operative Treatment Versus Non-Operative Treatment of Geriatric Lateral Compression 1 Pelvic Fractures - A Randomized Controlled Trial

Geriatric Lateral Compression 1 Pelvic Fractures

Condition
Lateral Compression 1 Pelvic Fracture
Intervention / Treatment

-

Contacts and Locations

Coon Rapids

Allina, Mercy Hospital, Coon Rapids, Minnesota, United States, 55433

Saint Louis Park

Park Nicollet, Methodist Hospital, Saint Louis Park, Minnesota, United States, 55426

Saint Paul

HealthPartners, Regions Hospital, Saint Paul, Minnesota, United States, 55101

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 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
  • * Inability or significant pain to mobilize with physical therapy assistance for 48 hours: Significant pain as determined by a pain score ≥ 7 with the Visual Analogue Scale (VAS) after a Timed "Up \& Go" (TUG) assessment, or inability to complete the TUG assessment.
  • * Dementia
  • * Vertically or rotationally unstable pelvic ring injuries
  • * Pathologic fracture secondary to tumor
  • * Non-ambulatory prior to injury
  • * Acute neurologic deficit
  • * High-energy mechanism of injury
  • * Concomitant injuries affecting ambulation
  • * Presence of another injury or medical condition that prevents ambulation
  • * Presence of implant or sacral morphology that prevents percutaneous sacral fixation
  • * Enrollment in another research study the precludes co-enrollment
  • * Likely problems, in the judgement of the investigators, with maintaining follow-up (i.e. patients with no fixed address, etc.)
  • * Incarcerated or pending incarceration

Ages Eligible for Study

60 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

HealthPartners Institute,

Mai P. Nguyen, MD, PRINCIPAL_INVESTIGATOR, University of Minnesota and HealthPartners

Study Record Dates

2026-04-01