Low-Energy Pelvic Ring Fractures: A Care Conundrum

Bailey R. Abernathy, Lisa K. Schroder, Deborah C. Bohn, Julie A. Switzer

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.

Original languageEnglish (US)
JournalGeriatric Orthopaedic Surgery and Rehabilitation
Volume12
DOIs
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.

Keywords

  • fragility fractures
  • geriatric orthopedic trauma
  • low-energy fracture
  • nonoperative management
  • osteoporosis
  • pelvic ring fracture
  • systems of care

PubMed: MeSH publication types

  • Journal Article

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