Features of Bone Metabolism in Pelvic Fractures Depending on the Sex And Concomitant Osteoporosis in Victims

Ye.A. Radchenko, S.Ye. Zolotukhin, N.N. Shpachenko

Abstract


Bone metabolism is studied in 85 patients with the different types of pelvic bones fractures, and in every fifth patient we registered the increased level of bone-associated macroelements in blood — calcium and magnesium, in every ninth patient — phosphorus, in 37 % from the number of the examined injured persons — osteocalcin and in 57 % — activity of alkaline phosphatase. Abnormality of bone metabolism are related to age and sex of victims (more frequent in the female group), they determine formation of osteoporosis, affect the severity of fractures, prevalence of osteofractures, nature of fractures of sacral, ischial and pubic bones, and also comminution of the later.

Keywords


pelvis; bones; fractures; sex; bone metabolism

References


Anil G. Radiology of osteoporosis / G. Anil, G. Guglielmi, W.C. Peh // Radiol. Clin. North Am. — 2010. — Vol. 48, № 3. — P. 497-518.

Culemann U. Concept for treatment of pelvic ring injuries in elderly patients. A challenge / U. Culemann, A. Scola, G. Tosounidis, T. Pohlemann // Unfallchirurg. — 2010. — Vol. 113, № 4. — P. 258-271.

Edwards B.J. Development of an electronic medical record based intervention to improve medical care of osteoporosis / B.J. Edwards, A.D. Bunta, J. Anderson, A. Bobb // Osteoporos. Int. — 2012. — Vol. 25, № 1. — P. 66-69.

Fuchs T. Pelvic ring fractures in the elderly. Underestima­ted osteoporotic fracture / T. Fuchs, U. Rottbeck, V. Hofbauer, M. Raschke // Unfallchirurg. — 2011. — Vol. 114, № 8. — P. 663-670.

Gänsslen A. Biomechanical principles for treatment of osteoporotic fractures of the pelvis / A. Gänsslen // Unfallchirurg. — 2010. — Vol. 113, № 4. — P. 272-280.

Korsic M. Non-hip peripheral osteoporotic fractures: epidemiology and significance / M. Korsic, S. Grazio // Arh. Hig. Rada Toksikol. — 2008. — Vol. 59, № 1. — P. 53-58.

Lefaivre K.A. Reporting and interpretation of the functional outcomes after the surgical treatment of disruptions of the pelvic ring: A systematic review / K.A. Lefaivre, G.P. Slobogean, J. Valeriote, P.J. O’Brien // J. Bone Joint Surg. Br. — 2012. — Vol. 94, № 4. — P. 549-555.

Maheshwari A.V. Osteoporotic insufficiency fractures of the pelvis simulating a malignancy in an elderly man / A.V. Maheshwari, M.M. Kounine, M. Soaita, D. Kumar // Am. J. Orthop. — 2009. — Vol. 38, № 2. — P. 45-48.

Martin S. Pelvic ring injuries: current concepts of management / S. Martin, P. Tomás // Cas. Lek. Cesk. — 2011. — Vol. 150, № 8. — P. 433-437.

Prieto-Alhambra D. Burden of pelvis fracture: a population-based study of incidence, hospitalisation and morta­lity / D. Prieto-Alhambra, F.F. Avilés, A. Judge, T. Van Staa // Osteoporos. Int. — 2012. — Vol. 24, № 2. — P. 55-57.

Scaglione M. External fixation in pelvic fractures / M. Scaglione, P. Parchi, G. Digrandi, M. Latessa // Musculoskelet. Surg. — 2010. — Vol. 94, № 2. — P. 63-70.

Siebler J. Use of temporary partial intrailiac balloon occlusion for decreasing blood loss during open reduction and internal fixation of acetabular and pelvis fractures / J. Siebler, T. Dipasquale, H. Sagi // J. Orthop. Trauma. — 2012. — Vol. 18, № 2. — P. 72-75.

Verhaar H.J. Medical treatment of osteoporosis in the elderly / H.J. Verhaar // Aging. Clin. Exp. Res. — 2009. — Vol. 21, № 6. — P. 407-413.

Walker J. Pelvic fractures: classification and nursing ma­nagement / J. Walker // Nurs. Stand. — 2011. — Vol. 26, № 10. — P. 49-58.




DOI: https://doi.org/10.22141/1608-1706.6.14.2013.87807

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