Fractures of the pelvis and acetabulum are among the most serious injuries treated by orthopaedic surgeons.
Read moreThe complex nature of these fractures can be better understood by looking at the anatomy that is involved.
Read moreRadiograph of the pelvis demonstrating a fracture of the pubic bone
Read moreAs with any fracture, the main goal of treatment for fractures of the acetabulum and pelvis is to return the patient to their pre-injury functional level, to the greatest extent possible. This means returning comfortably to daily activities--work and play. Physicians, nurses and rehabilitation specialists design a course of treatment that seeks to get the patient back to full strength and with the range of motion that they had before the injury.
Read moreTreatment for patients with pelvic fractures is based on a number of factors including the type of fracture, the stability of the pelvis, and the degree of displacement of the bones. The orthopaedic surgeon uses information gathered through physical examination, conventional radiographs and CT scans to make this determination. Patients with a stable pelvic fracture--without displacement or dislocation--are the most likely candidates for non-surgical treatment. Some may require closed reduction (realignment without an open surgical procedure) under anesthesia with or without external fixation.
Read moreRealignment of the bones may be done either as an open reduction, in which the orthopaedic surgeon makes an incision to directly manipulate the bone, or as a closed reduction, in which this incision is not necessary. Once the bones are realigned, the surgeon uses internal or external fixation to hold the bone in proper position during healing. Metallic devices including wires, pins, screws, and plates are used.
Read morePatients scheduled for surgery undergo a number of tests. These include:
Read moreFollowing surgery, managing the patient's pain and managing any complications that arise due to the injury are primary concerns.
Read moreThroughout treatment and recovery, doctors and nurses are watchful for the following potential complications:
Read moreThe outcome of surgery for a pelvic or acetabular fracture is dependent on a variety of factors including: the extent of injury including injuries to the head and other organs, the health of the patient prior to the injury, and whether this is the patient's first surgery for the condition.
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