title: Pelvic ring fractures in the elderly now and then - a pelvic registry study.
abstract: OBJECTIVE
  To analyze the changes in demographic data stratified for age, sex and type of injury of elderly patients suffering from pelvic ring fractures over a 22-year observation period.
  
  
  METHODS
  Data has been collected prospectively, multi-centrically in hospitals participating in the German Pelvic Trauma Registry.
  
  
  METHODS
  We analyzed the data of 5665 patients with an age ≥60years included in the German Pelvic Trauma Registry from 1991 to 2013.
  
  
  RESULTS
  Over the 22-year study period the frequency of type A fractures decreased significantly from 84.8% to 43.9%, while type C and, in particular, type B fractures significantly increased from 7.0% and 8.2% to 14.3% and 41.8%. In patients between 60 and 70 years of age the frequency of type B and C fractures was higher compared to patients >70years. The proportion of female patients, who represent the majority of the cohort (75%), was stable over the entire observation period. Interestingly, type A fractures were found more frequently in females, while type B and C fractures were found more frequently in males.
  
  
  CONCLUSIONS
  With the predicted demographic change and a shift toward more severe injury patterns (type B and C pelvic fractures) in the elderly population, trauma departments will need to develop specific surgical concepts for geriatric patients with pelvic ring fractures.
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany. Electronic address: mika.rollmann@uks.eu.
authors.forename: Mika F
authors.initials: MF
authors.lastname: Rollmann
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Herath
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Kirchhoff
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Benedikt J
authors.initials: BJ
authors.lastname: Braun
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Joerg H
authors.initials: JH
authors.lastname: Holstein
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Tim
authors.initials: T
authors.lastname: Pohlemann
authors.affiliation: Institute for Clinical & Experimental Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Menger
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Saarland University, Homburg/Saar, Germany.
authors.forename: Tina
authors.initials: T
authors.lastname: Histing
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000453:epidemiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D012042:Registries
keywords: Elderly; Gender; Geriatric medicine; Pelvic ring fractures