XXXX of the pelvis: treatment and preliminary results.

@entity1 @entity174 @entity170 @entity173 @entity130
BACKGROUND: With increasing life expectancy, @entity174 (FFP) are becoming frequent. In elderly, @entity170 leads to a decrease of bone strength and resistance to the ligament's traction; this represents the most important difference between FFP and @entity174 in young @entity1 . Usually, these @entity174 are underestimated and treatment is often conservative. AIMS: To evaluate clinical and surgical outcomes of surgically treated @entity1 with FFP. METHODS: We retrospectively enrolled 14 @entity1 , in our @entity130 Center, underwent surgery procedures for FFP between 2012 and 2014. All @entity1 attended clinical and radiological investigation at 1, 3, and 6  months postoperatively and every year after surgery with a mean follow-up of 22  months. RESULTS: At 6-month follow-up, 11 @entity1 resulted asymptomatic: able to maintain standing position and walk without crunches. Two @entity1 were able to walk with one crunch. The @entity1 with history of previous @entity174 walks with two crunches and is still waiting for total hip arthroplasty. DISCUSSION: The compromised health status and the diminished bone-healing capacity, in elderly, decrease chances for a good clinical outcome. In literature, many authors suggest that mortality rate in @entity1 with FFP is similar to those with @entity173 . Diagnosis of FFP is very important: these @entity174 are highly disabling in elderly and can lead to displacement and instability. For these reasons, correct diagnosis and well-conduct preoperative plan are necessary to improve stability of @entity174 and support bone healing. After diagnosis, an anti-osteoporotic treatment is indicated to improve bone quality and bone healing. CONCLUSIONS: Our study shows encouraging results and demonstrates that minimally or less invasive osteosynthesis technique could lead to good outcome in these @entity1 .
