Geriatric Pelvic Ring Fractures
Conditions
Brief summary
To determine if surgical fixation of geriatric pelvic ring fractures improves objective gait metrics compared to non-operative management, and to correlate gait parameters with clinical outcomes including hospital quality measures.
Detailed description
This is a prospective, single-center cohort study. The study is non-randomized and non-blinded. Patients will be assigned to operative or non-operative treatment groups based on standard clinical decision-making by the treating orthopedic surgeon, not by randomization. The study utilizes the Loadsol Gait Analysis device to collect objective gait metrics at multiple time points. This is an observational study design where treatment allocation follows standard of care protocols.
Interventions
None listed
Sponsors
University of Pennsylvania
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Closed, low energy pelvic ring injury Inability to discharge home from emergency room due to pain and limited weight bearing No neurovascular compromise No severe medical comorbidities preventing treatment.
Exclusion criteria
Dementia Immobility (wheelchair use or greater) prior to pelvic ring injury Concomitant fractures of upper or lower extremities Inability to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait Analysis | 2 weeks | Use of gait analysis to compare average peak force of lower limb ipsilateral to posterior pelvic ring injury, compared between pre-operative and post-operative gait trials |
Countries
United States
Contacts
CONTACTMounika Ponakala, MS
Outcome results
None listed