Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring

Background: The clinical results of conservative treatment in correctly selected patients with fragility fracture of the pelvis are acceptable. However, there is a loss of social and physical independence and autonomy. This study aimed to evaluate factors associated with decreased walking ability in...

Full description

Saved in:
Bibliographic Details
Main Authors: Yasuo Kokubo, Hideaki Nakajima, Yuya Izubuchi, Akihiko Matsumine
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Journal of Orthopaedics, Trauma and Rehabilitation
Online Access:https://doi.org/10.1177/22104917231214804
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: The clinical results of conservative treatment in correctly selected patients with fragility fracture of the pelvis are acceptable. However, there is a loss of social and physical independence and autonomy. This study aimed to evaluate factors associated with decreased walking ability in patients with conservatively treated fragility fractures of the pelvis. Methods: Overall, 124 patients aged >70 years were included. Fragility fracture of the pelvis was classified according to the Rommens classification. Walking ability before and 1 year after injury was assessed using the Functional Ambulation Category. Results: The overall recovery rate of walking ability of conservatively treated patients to the preinjury state was 73%, one year after injury. The presence of cancer and > four-week bed rest were determinants of decreased walking ability one year after injury. Conclusions: The presence of cancer and more than four-week bed rest were risk factors for a significant decrease in walking ability.
ISSN:2210-4925