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Patrick Pflüger Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Karl-Friedrich Braun Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany

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Olivia Mair Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Chlodwig Kirchhoff Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Peter Biberthaler Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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Moritz Crönlein Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany

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with bi- or trimalleolar fracture have the highest incidence of open ankle fractures. 29 Due to the predominance in elderly women, some authors claim that trimalleolar fractures should be regarded as fragility fractures. 28 There also exists a

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Markus A. Küper BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Alexander Trulson BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Fabian M. Stuby BG Trauma Center, Department for Traumatology, Orthopedics and Surgery, Murnau am Staffelsee, Germany

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Ulrich Stöckle BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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classification (Fragility Fractures of the Pelvis) especially integrates osteoporotic insufficiency fractures into the categorization of the injury. While the FFP classification provides some advantages in the elderly, an evaluation of the benefit is under

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Emmanuele Santolini Academic Unit of Trauma and Orthopaedics, University of Genoa, Italy
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Nikolaos K. Kanakaris Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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für Osteosynthesefragen/Orthopaedic Trauma Association ( AO/OTA) modified Tile (AO/OTA) classification 13 and Young–Burgess (YB) classification, 14 for high-energy fractures, and the Fragility Fracture of Pelvic ring (FFP) classification

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Mario Herrera-Pérez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Pablo Martín-Vélez Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain

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David González-Martín Foot and Ankle Unit, Orthopaedic Department, Hospital Universitario de Canarias, Tenerife, Spain
School of Medicine, Universidad de La Laguna, Tenerife, Spain

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Miguel Domínguez-Meléndez Foot and Ankle Unit, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain

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Ahmed E Galhoum Specialty Doctor Trauma and Orthopaedics, George Eliot Hospital NHS Trust, Nuneaton, UK

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Victor Valderrabano Schmerzklinik, Basel, Switzerland
University of Basel, Basel, Switzerland

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Sergio Tejero Foot and Ankle Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain
School of Medicine, Universidad de Sevilla, Sevilla, Spain

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with a degeneration related to aging that affects the psychological, physical and social sphere. Therefore, the concept of fragility fracture implies not only a deterioration of the bone structure (osteoporosis) and soft tissues but also the physical

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Julia Riemenschneider Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Jan Tilmann Vollrath Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Nils Mühlenfeld Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Johannes Frank Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Ingo Marzi Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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Maren Janko Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University, Frankfurt, Germany

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. introducing a fragility fractures classification ( 15 ). This classification has been widely accepted and led to concept of conservative or surgical therapy ( 15 ). As the acetabulum is a part of the pelvis and its stability is dependent on the pelvic ring

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Nikolaos Patsiogiannis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK

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Nikolaos K. Kanakaris Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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Peter V. Giannoudis Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds, UK
NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK

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fragility fractures, has recently been highlighted. 37 Non-operative treatment of PPFs has been associated with poor outcomes (nonunions, malunions, medical complications) 38 except probably in cases of a critically ill patient unable to undergo

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Ioannis Ktistakis School of Medicine, University of Leeds, UK

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Vasileios Giannoudis School of Medicine, University of Leeds, UK

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Peter V. Giannoudis School of Medicine, University of Leeds; National Institute for Health Research, Leeds Biomedical Research Unit, Leeds, UK

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not recommended before surgery. If used should stop 24 h before surgery 3. Intermittent pneumatic compression devices Blue Book on Fragility Fracture Care, British Orthopaedic Association (BOA) 6 2007 Controversy over thromboprophylaxis

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Allan Roy Sekeitto Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Dick Ronald van der Jagt Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Jurek R.T. Pietrzak Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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, a 2.5 times increased risk of non-hip-fragility fractures also exists. 55 , 56 Prevention of subsequent factures is mandatory and may be achieved by pharmacological and non-pharmacological methods. 54 , 55 There is support for routine

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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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that, by the time of admission in the emergency room, has not caused hemodynamic instability. This concept, however, needs qualification for both the hemodynamics and the pelvic fracture. On the one hand, all patients presenting with hemorrhagic shock

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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Introduction Complex epiphyseal knee fractures are rare. In contrast to the high incidence of femoral neck and proximal humerus fractures, epiphyseal knee fractures account only for up to 1% of annual emergency admissions. Furthermore, the sub

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