{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:27:01Z","timestamp":1783481221980,"version":"3.55.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"3738","license":[{"start":{"date-parts":[[2013,9,8]],"date-time":"2013-09-08T00:00:00Z","timestamp":1378598400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>OBJECTIVE: To evaluate the patient characteristics and natural history of pubic rami  fractures in geriatric patients, with a special focus on the frequency of  concomitant posterior pelvic ring lesions and the percentage of secondarily  operated patients as a result of conservative treatment failure.\n        STUDY DESIGN: Retrospective cohort study.  Patients were treated in a university hospital that is equivalent to a level I  Trauma centre.\n        PATIENTS AND  METHODS: We analysed 132 consecutive patients (113 women, 19 men), &gt;65 years  old, presenting with low energy-trauma pubic rami fractures at our emergency  department from January 2009 to December 2011.\n        RESULTS: Mean age of patients was 84 years (range  66\u2013100). Women were affected six times more frequently than men. Almost 30% of  patients lost their previous independence permanently owing to the injury. Ninety  eight percent of previously independent patients (community dwellers) required temporary  hospital care for a median duration of 39 days (interquartile range [IQR] 28\u201352).  One-year mortality was 18.5%. A concomitant posterior pelvic ring lesion was  identified by computed tomography in 54% of patients. In 4% of the patients  secondary operative fracture stabilisation was performed.\n        DISCUSSION: Pubic rami fractures are frequently associated  with concomitant posterior pelvic ring injuries, making these injuries more  unstable than generally assumed. Based on this fact and the long duration of  hospital stay, more aggressive management of these injuries may be considered.  The principle aims in this patient population are satisfying pain management, early  mobilisation, conservation of independence and return to previous place of  residence.<\/jats:p>","DOI":"10.4414\/smw.2013.13859","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T10:27:23Z","timestamp":1404383243000},"page":"w13859","source":"Crossref","is-referenced-by-count":35,"title":["Pubic rami fractures in the elderly \u2013 a  neglected injury?"],"prefix":"10.57187","volume":"143","author":[{"given":"Patrick","family":"Studer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Suhm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Zappe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bless","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Jakob","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36756","published-online":{"date-parts":[[2013,9,8]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1754\/2390","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1754\/2391","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1754\/2390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:57:35Z","timestamp":1755233855000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,8]]},"references-count":0,"journal-issue":{"issue":"3738","published-online":{"date-parts":[[2013,9,9]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2013.13859","relation":{},"ISSN":["1424-3997"],"issn-type":[{"value":"1424-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,8]]}}}