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...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/22104917231214804 |
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| _version_ | 1849327799756652544 |
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| author | Yasuo Kokubo Hideaki Nakajima Yuya Izubuchi Akihiko Matsumine |
| author_facet | Yasuo Kokubo Hideaki Nakajima Yuya Izubuchi Akihiko Matsumine |
| author_sort | Yasuo Kokubo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-22e1954c9b3640ac9b7e2dcefc47b07f |
| institution | Kabale University |
| issn | 2210-4925 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj-art-22e1954c9b3640ac9b7e2dcefc47b07f2025-08-20T03:47:45ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252025-06-013210.1177/22104917231214804Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ringYasuo Kokubo0Hideaki Nakajima1Yuya Izubuchi2Akihiko Matsumine3 Surgical Center, Hospital, Fukui, Japan Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, Fukui, Japan Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, Fukui, Japan Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, Fukui, JapanBackground: 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.https://doi.org/10.1177/22104917231214804 |
| spellingShingle | Yasuo Kokubo Hideaki Nakajima Yuya Izubuchi Akihiko Matsumine Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| title_full | Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| title_fullStr | Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| title_full_unstemmed | Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| title_short | Factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| title_sort | factors affecting decreased walking ability in patients with conservatively treated fragility fracture of the pelvic ring |
| url | https://doi.org/10.1177/22104917231214804 |
| work_keys_str_mv | AT yasuokokubo factorsaffectingdecreasedwalkingabilityinpatientswithconservativelytreatedfragilityfractureofthepelvicring AT hideakinakajima factorsaffectingdecreasedwalkingabilityinpatientswithconservativelytreatedfragilityfractureofthepelvicring AT yuyaizubuchi factorsaffectingdecreasedwalkingabilityinpatientswithconservativelytreatedfragilityfractureofthepelvicring AT akihikomatsumine factorsaffectingdecreasedwalkingabilityinpatientswithconservativelytreatedfragilityfractureofthepelvicring |