The FFP-classification: From eminence to evidence.

Area of Science:

• Orthopedics
• Geriatric Medicine
• Traumatology

Background:

• Fragility fractures of the pelvis (FFP) are a growing concern in elderly women.
• These fractures differ from high-energy pelvic trauma.
• The FFP-classification, introduced in 2013, offers a framework for analyzing pelvic ring stability.

Purpose of the Study:

• To provide an overview of the evolution of knowledge regarding FFP.
• To examine the impact of the FFP-classification on clinical practice and research.
• To synthesize current evidence on FFP characteristics, treatment, and outcomes.

Main Methods:

• Review of clinical and scientific literature on FFP.
• Analysis of studies utilizing the FFP-classification.
• Examination of data on mortality, complications, and functional outcomes post-FFP.

Main Results:

• The FFP-classification has spurred significant clinical and scientific interest.
• Operative treatment is associated with lower mortality but carries surgical risks.
• Patient mobility, independence, and quality of life often remain diminished post-fracture, irrespective of treatment.

Conclusions:

• The FFP-classification has enhanced understanding and expertise in managing these fractures.
• While treatment strategies have advanced, functional recovery remains a challenge.
• Further research is needed to optimize outcomes for elderly women with FFP.