Nature of Pelvic and Acetabular Fractures

Pelvic ring and acetabular fractures usually result from high energy trauma such as road crashes falls from height or crush injuries and are among the most challenging problems in orthopaedics Pelvic fractures can be stable or unstable and may be associated with significant internal bleeding and injuries to abdominal chest and urogenital organs Acetabular fractures involve the socket of the hip joint and can damage cartilage leading to early arthritis if joint congruity is not restored

Initial Stabilisation and Assessment

Care begins with life saving trauma protocols to control bleeding and stabilise the patient often in the intensive care unit with multi speciality input Pelvic binders or external fixation frames may be applied early to reduce pelvic volume and stabilise major fractures while other injuries are treated Imaging includes anteroposterior inlet and outlet pelvic views specialised acetabular radiographs and computed tomography with three dimensional reconstruction to define fracture patterns

Surgical Options for Pelvic Fractures

Definitive pelvic fracture surgery aims to realign the pelvic ring and stabilise disrupted joints using plates screws and sometimes external fixators Depending on the pattern the surgeon may need to fix the front the back or both parts of the ring through carefully chosen approaches External fixation may be sufficient for some anterior injuries while complex instability often requires internal fixation with plates and screws to allow healing and earlier mobilisation

Acetabular Fracture Reconstruction and Fix and Replace

For displaced acetabular fractures open reduction and internal fixation seeks to restore a smooth weight bearing surface by precisely repositioning fragments and securing them with plates and screws Accurate reduction is crucial to minimise the risk of post traumatic arthritis and need for later hip replacement In older patients with severely damaged joint surfaces or osteoporotic bone surgeons may combine fixation with immediate hip replacement in a fix and replace strategy to achieve stability and function in a single stage

Timing Rehabilitation and Outcomes

Experts recommend operating on suitable pelvic and acetabular fractures within about three days when the patient is stable because delay can increase technical difficulty and complication risk Rehabilitation after surgery focuses on pain control protected weight bearing and progressive physiotherapy to restore walking and hip motion While these injuries carry a risk of complications good surgical reduction and comprehensive rehabilitation can allow many patients to return to independent mobility and work

Why Choose Livasa Hospitals for Pelvic and Acetabular Trauma

Livasa Hospitals manage complex pelvic and acetabular fractures through interdisciplinary trauma teams that include orthopaedic trauma surgeons general surgeons anaesthesiologists and critical care specialists Access to advanced imaging intensive care blood bank and structured rehabilitation allows the network to deliver guideline based care for these high risk injuries to patients from across Punjab

Livasa Hospitals Punjab Network Contact

Livasa Healthcare Group Network of Multi speciality Hospitals in Punjab
Corporate Office Phase 8 Industrial Area Sector 73 Punjab 160071 India