{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:51:10Z","timestamp":1785761470296,"version":"3.56.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006196","name":"University of Oulu","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006196","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fragility fracture of the pelvis (FFP) with a low-energy mechanism of injury is relatively common among the growing geriatric population. The incidence of postoperative complications after surgically treated FFP is not well documented. The aim of this study was to report complications after operatively treated FFP and to determine whether these complications would have a detrimental effect on outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study of 200 consecutive patients who underwent operative treatment at Oulu University Hospital, Oulu, Finland, between 1.1.2010 and 15.4.2021 for FFP with a low-energy injury mechanism. Postoperative complications were recorded, and associations with outcomes were depicted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Postoperative complications were recorded in 31 (15.5%) patients. Patients with complications had higher intraoperative bleeding (OR 2.8 (1.0-7.9),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048) and higher ASA classification 3.4 (1.3\u20138.4),\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.009). Patients with complications had longer hospital stays, but no clear association between complications and mortality or discharge location was observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence of postoperative complications was comparable with that reported in previous literature. Patients who experienced complications had longer hospital stays; however, no definitive association between complications and outcomes was identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06418-w","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:13:27Z","timestamp":1785759207000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complications and outcomes after operative treatment of low-energy pelvic ring and acetabular fractures"],"prefix":"10.1007","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0984-0220","authenticated-orcid":false,"given":"Kaarina Birgitta","family":"Salonp\u00e4\u00e4","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juho","family":"Nurkkala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iikka","family":"Lantto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanna","family":"Kakko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"Kaakinen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia","family":"Aitavaara-Anttila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janne","family":"Liisanantti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"6418_CR1","doi-asserted-by":"crossref","unstructured":"Lo YC, Chen CH, Shih CY, Toma O (2024) Clinical frailty and short-term outcomes after low-energy pelvic fracture in the geriatric population: Nationwide inpatient sample 2016\u20132018 analysis. Bone 188. https:\/\/pubmed.ncbi.nlm.nih.gov\/39117161\/","DOI":"10.1016\/j.bone.2024.117225"},{"key":"6418_CR2","doi-asserted-by":"crossref","unstructured":"Garcia M, Firek M, Zakhary B, Brenner M, Hildebrand F, Coimbra R (2020) Severe Pelvic Fracture in the Elderly: High Morbidity, Mortality, and Resource Utilization. Am Surg. ;86(10):1401\u20136. https:\/\/pubmed.ncbi.nlm.nih.gov\/33103461\/","DOI":"10.1177\/0003134820964493"},{"key":"6418_CR3","doi-asserted-by":"crossref","unstructured":"Endo K, Yamamoto N, Taito S, Tsuge T, Nakashima Y, Suzuki K et al (2025) Classifications and treatment management of fragility fracture of the pelvis: a scoping review. Injury 56(3). https:\/\/pubmed.ncbi.nlm.nih.gov\/39983532\/","DOI":"10.1016\/j.injury.2025.112206"},{"key":"6418_CR4","doi-asserted-by":"crossref","unstructured":"Forssten MP, Mohammad Ismail A, Ioannidis I, Wretenberg P, Borg T, Cao Y et al (2022) The mortality burden of frailty in hip fracture patients: a nationwide retrospective study of cause-specific mortality. Eur J Trauma Emerg Surg 49(3):1467. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10229683\/","DOI":"10.1007\/s00068-022-02204-6"},{"key":"6418_CR5","doi-asserted-by":"crossref","unstructured":"Seriacopi LS, Falotico GG, Durigon TS, Cocco LF, Dell\u2019Aquila AM, dos Reis FB et al (2025) High Charlson Comorbidity Index is associated with infection and mortality following surgical treatment of elderly proximal femoral fractures. BMC Musculoskelet Disord 26(1):618. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12226892\/","DOI":"10.1186\/s12891-025-08849-9"},{"key":"6418_CR6","doi-asserted-by":"crossref","unstructured":"Wilson DGG, Kelly J, Rickman M (2021) Operative management of fragility fractures of the pelvis - a systematic review. BMC Musculoskelet Disord 22(1). https:\/\/pubmed.ncbi.nlm.nih.gov\/34419037\/","DOI":"10.1186\/s12891-021-04579-w"},{"key":"6418_CR7","doi-asserted-by":"crossref","unstructured":"Rommens PM, Hofmann A, Kraemer S, Kisilak M, Boudissa M, Wagner D (2021) Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients. Eur J Trauma Emerg Surg 48(4):2881. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9360165\/","DOI":"10.1007\/s00068-021-01799-6"},{"key":"6418_CR8","doi-asserted-by":"crossref","unstructured":"Lahtinen S, Koivunen P, Ala-Kokko T, Laurila P, Kaarela O, Liisanantti JH (2018) Quality of life after free flap surgery for cancer of the head and neck in patients with or without postoperative complications. Eur Arch Otorhinolaryngol 275(10):2575\u20132584. https:\/\/pubmed.ncbi.nlm.nih.gov\/30143854\/","DOI":"10.1007\/s00405-018-5103-4"},{"key":"6418_CR9","doi-asserted-by":"crossref","unstructured":"Whitmore RG, Stephen JH, Vernick C, Campbell PG, Yadla S, Ghobrial GM et al (2014) ASA grade and Charlson Comorbidity Index of spinal surgery patients: Correlation with complications and societal costs. 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