TY  - JOUR
T1  - Clinical Course and Prognostic Factors of Isolated Pubic Ramus Fractures in Geriatric Patients
AU  - Sağlam, Sönmez
AU  - Karaduman, Zekeriya Okan
AU  - Arıcan, Mehmet
AU  - Yücel, Mücahid Osman
AU  - Bulum, Yunus Emre
AU  - Dalaslan, Raşit Emin
PY  - 2025
DA  - September
Y2  - 2025
JF  - Medical Records
JO  - Med Records
PB  - Tıbbi Kayıtlar Derneği
WT  - DergiPark
SN  - 2687-4555
SP  - 591
EP  - 5
VL  - 7
IS  - 3
LA  - en
AB  - Aim: This study aims to evaluate the clinical outcomes of geriatric patients with pubic ramus fractures managed conservatively, assessing parameters such as length of hospitalization, blood loss, and accompanying comorbidities, and to investigate the impact of these factors on one-year mortality rates.Material and Method: A retrospective evaluation was conducted on patients aged 65 and older diagnosed with pubic ramus fractures and admitted to a tertiary care center between 2012 and 2024. Demographic data, existing systemic diseases, laboratory findings, hospitalization duration, and mortality outcomes within a one-year follow-up were examined in detail. Results: 60 patients were evaluated in the study, with a mean age of 78.00±7.32 years, and 71.7% of the participants were female. The mean hospitalization was calculated as 3.28±2.62 days. A statistically significant relationship was found between the burden of comorbidities and the duration of hospitalization (p<0.001). The change in hemoglobin data was 2.36±1.03 g/dL. The fractures of the pubic ramus were 85% unilateral. Among the comorbid conditions, heart failure was the most frequently observed, affecting 71% of the patients.  Deep vein thrombosis was present in 9 patients. The mortality rate was 10 percent during the twelve-month follow-up period.Conclusion: Isolated pubic ramus fractures in older adults should be considered a significant clinical concern due to their association with increased morbidity and mortality. Prompt identification of risk factors influencing hospitalization duration and mortality underscores the necessity of a multidisciplinary approach in patient management.
KW  - Geriatric
KW  - pubic ramus fracture
KW  - fall-related fracture
KW  - risk factor
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UR  - https://dergipark.org.tr/tr/pub/medr/issue//1695143
L1  - https://dergipark.org.tr/tr/download/article-file/4851089
ER  -