FFP classification

Fragility fracture of the pelvis

by Rommens

Rommens, P. M., Wagner, D., & Hofmann, A. (2019). Do We Need a Separate Classification
for Fragility Fractures of the Pelvis? Journal of Orthopaedic Trauma, 33, S55–S60. doi:10.1097/bot.0000000000001402
 FFP classification

Fragility fracture of the pelvis

by Rommens
 The classification is based on the analysis of 245 patients aged 65 years or older
 The ultimate goal is pain-free mobilization, which will enable the patient’s full partici
pation in activities of daily living

 FFP type I are treated conservatively.

 out-of-bed mobilization in less than 1 week after trauma
 FFP type II are treated conservatively
 As the posterior pelvic ring is also fractured, expect a slower progression to pain-free mobili
zation.
 When the patient cannot be mobilized within 1 week or complaints get worse, a minimal in
vasive stabilization should be considered and discussed with the patient.
 For FFP types III and IV, the pelvic ring should be stabilized primarily by operative m
eans

 Surgical therapy and physiotherapy must be enhanced with therapy for osteoporosis
in accordance with the recommendations of others. The use of teriparatide has prov
en to promote fracture healing of pubic rami fractures and should be considered

Rommens, P. M., Wagner, D., & Hofmann, A. (2019). Do We Need a Separate Classification
for Fragility Fractures of the Pelvis? Journal of Orthopaedic Trauma, 33, S55–S60. doi:10.1097/bot.0000000000001402