Fragility fracture of the pelvis treated with robot-assisted surgery under local anesthesia: a case report

Abstract

An elderly patient in her 90s suffered an accidental fall at home 11 days prior to admission, resulting in hip pain and limited mobility of the right lower limb.She was able to walk with crutches before the incident.Her CT and X-ray (figure 1) demonstrated fracture of the superior/inferior pubis ramus and right ilium.The fracture was classified as type IIIa based on Rommens et al's research. 1Blood gas analysis indicated low levels of Partial Pressure of Oxygen (PO 2 , 56.7 mm Hg) and Oxygen Saturation of blood (SaO 2 ,90.9%; type 1 respiratory failure).Lumbar X-rays showed multiple old compression fractures of the thoracolumbar spine.Laboratory tests revealed hypokalemia (K + of 3.37 mmol/L) and hypoproteinemia (Albumin, ALB of 31.4 g/L).In addition, the patient has a history of coronary heart disease, severe osteoporosis, and hypertension.