Treatment of pelvic bone fractures
Fractures of the pelvic bones sometimes occur in car accidents and falls from a great height. Often a fracture is part of a complex polytrauma with damage to many organs and tissues and requires urgent medical intervention.
The pelvic bones support the upper body, provide movement and protect internal organs. Stable pelvic bone fractures are usually not displaced and can heal with nonsurgical treatment, while unstable fractures require surgical intervention.
Pelvic fractures are often accompanied by internal organ and blood vessel damage, making them particularly dangerous and requiring immediate medical attention. Major symptoms of pelvic bone fractures include severe pelvis and lower back pain, impaired movement or walking, swelling and bruising. Treatment of pelvic fractures aims to stable the bone, relieve pain and prevent complications. Osteosynthesis allows precise fixation of the bone fragments, which promotes proper fusion and reduces the risk of dislocation.
Common blood and urine tests Coagulogram (blood clotting assessment). X-ray or computerized tomography (CT) scan of the pelvis. Electrocardiogram (ECG). Consultation with an anesthesiologist to choose the best anesthesia option. Examination and consultation with a general practitioner for a general assessment of the patient's health.
Treatment of pelvic bone fractures is based on the type and extent of the fracture. In cases of minor or non-displaced fractures, a conservative approach is used, including anesthesia, blood compensation and fracture immobilization. Displaced, unstable or complex fractures require surgical intervention. Surgical techniques may include open reduction and internal fixation of the bone fragments with steel plates, screws and pins. Some cases require external fixation.
X-ray equipment for intraoperative monitoring and precise positioning of the retainers. Steel retainer set (plates, screws, pins) to fixate bone fragments.
Rehabilitation starts after treatment, to restore mobility, strength and lower body function. The physician may prescribe physiotherapy, exercise therapy and, optionally, massage. An important part of rehabilitation is adapting the patient to new lifestyle changes and minimizing the impact of the injury on daily activities. The rehabilitation program is selected individually and is based on the patient's overall health and the extent of the fracture.
Benefits
Anatomy restoration
Proper joining and securing bone fragments restores pelvis function and mobility.
Pain relief
Treatment helps patients return to regular activity and independent movement.
Preventing complications
Treatment minimizes the risk of chronic pain and pelvic organ dysfunction.
Frequently Asked Questions
Is surgery required for fractured pelvic bones?
How long does rehabilitation take after a pelvic bone fracture?
What symptoms indicate a pelvic bone fracture?
What precautions should be taken after a pelvic bone fracture?
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Candidate of Medical Sciences. Orthopedic Trauma Surgeon. Head of the Traumatology Department.
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