![]() The pins and screws project out (stick out) of the skin on both sides of the pelvis where they are attached to carbon fiber bars outside the skin. In this operation, the surgeon inserts metal pins or screws into the bones through small incisions in the skin and muscle. Your doctor may use external fixation to stabilize your pelvic area. Patients with unstable pelvic fractures may require one or more surgical procedures.Įxternal fixation. Your doctor may prescribe medication to relieve pain, as well as an anti-coagulant, or blood thinner, to reduce the risk of blood clots forming in the veins of your legs and pelvis. If you have injuries above both legs, you may need to use a wheelchair for a period of time so that you can avoid bearing weight on either leg. To avoid bearing weight on your leg, your doctor may recommend that you use crutches or a walker for up to 3 months - or until your bones are fully healed. Your doctor may recommend nonsurgical treatment for stable fractures in which the bones are nondisplaced or minimally displaced. Your overall condition and associated injuries (other injuries you suffered at the same time as the pelvic fracture).How much the bones are displaced (have moved out of place).Treatment is based on several factors, including: All pelvic fractures require X-rays - usually from a number of different angles - to help the doctor determine how much the bones are displaced (have moved out of place). X-rays provide images of dense structures, such as bones. ![]() Carefully examine the rest of your body to determine whether you have any other injuries.Check for nerve injury by assessing whether you can move your ankles and toes and feel sensation on the bottom of your feet.Carefully examine your pelvis, hips, and legs.In some cases, doctors must address airway, breathing, and circulatory (blood flow) problems before treating the fracture and other injuries. The care of patients with high-energy pelvic fractures requires a multidisciplinary (team) approach with input from a number of medical specialists. If their injuries cause significant blood loss, it could lead to shock - a life-threatening condition that can result in organ failure. These patients may also have additional injuries to the head, chest, abdomen, or legs. Patients with high-energy fractures will almost always go or be brought to an urgent care center or emergency room for initial treatment due to the severity of their symptoms. An avulsion fracture does not usually make the pelvis unstable or injure internal organs. This type of fracture is called an avulsion fracture, and it is most common in young athletes who are still growing. Less commonly, a fracture may occur when a piece of the ischium bone tears away from the site where the hamstring muscles attach to the bone. These injuries are typically stable fractures of an individual pelvic bone that do not damage the structural integrity of the pelvic ring. In people with osteoporosis, even a fall from a standing position or during a routine activity - such as getting out of the bathtub or walking down stairs - can result in a pelvic fracture. This is most common in older people whose bones have become weakened by osteoporosis. ![]() Bone InsufficiencyĪ pelvic fracture may also occur due to weak or insufficient bone.
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