Comparing Early Internal Fixation Surgery Versus Nonoperative Care with Early Rehabilitation for Minimally Displaced LC1 Pelvic Fractures in Adults 60 and Older

What this Trial Is About

Researchers are evaluating treatment options for older adults aged 60 years or older who have experienced a specific type of pelvic fracture called a low-energy lateral compression type 1 LC1 pelvis fracture with less than 10 mm displacement of the posterior pelvic ring. This randomized pilot study aims to test the feasibility of a larger definitive trial and gather information to improve its design. The study compares early internal fixation surgery to nonoperative care with early rehabilitation to see which approach is more practical and effective to study further. Participants are randomly assigned to one of two groups. One group receives early internal fixation, which involves surgical procedures using screws, implants, or fusion devices to stabilize the pelvic fracture. The other group receives nonoperative care that includes early rehabilitation efforts, with physical therapy starting within 24 hours of randomization and at least five days of attempted mobilization. Patients unable to walk after five days of rehabilitation may be considered for delayed surgery. Participants are followed for one year, with visits scheduled at 2 weeks, 6 weeks, 4 months, 8 months, and 1 year after the fracture. During follow-up visits, researchers collect data on survival, walking ability, health status, and days spent at home. The study also tracks how well participants adhere to their assigned treatment and how well the study methods work. The main goal is to see if the trial can be successfully carried out and to refine procedures for the future larger trial. The total participation time for each patient is one year, during which multiple assessments and data collections occur to monitor outcomes and protocol compliance.

Early Internal Fixation Versus NonOperative Care With Early Rehabilitation for LC1 Fragility Fractures of the Pelvis