Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Jan-Mar;7(1):1-6.
doi: 10.1016/j.jcot.2015.08.001. Epub 2015 Sep 2.

Pelvic ring injuries: Surgical management and long-term outcomes

Mohamad J Halawi  1
Affiliations
Review

Pelvic ring injuries: Surgical management and long-term outcomes

Mohamad J Halawi. J Clin Orthop Trauma. 2016 Jan-Mar.

Abstract

Pelvic ring injuries present a therapeutic challenge to the orthopedic surgeon. Management is based on the patient's physiological status, fracture classification, and associated injuries. Surgical stabilization is indicated in unstable injury patterns and those that fail nonsurgical management. The optimal timing for definitive fixation is not clearly defined, but early stabilization is recommended. Surgical techniques include external fixation, open reduction and internal fixation, and minimally invasive percutaneous osteosynthesis. Special considerations are required for concomitant acetabular fractures, sacral fractures, and those occurring in skeletally immature patients. Long-term outcomes are limited by lack of pelvis-specific outcome measures and burden of associated injuries.

Keywords: Indications; Outcomes; Pelvic ring injuries; Surgical treatment; Timing.

PubMed Disclaimer

References

    1. Papakostidis C., Giannoudis P.V. Pelvic ring injuries with haemodynamic instability: efficacy of pelvic packing, a systematic review. Injury. 2009;40(suppl 4):S53–S61. - PubMed
    1. Gansslen A., Pohlemann T., Paul C., Lobenhoffer P., Tscherne H. Epidemiology of pelvic ring injuries. Injury. 1996;27(suppl 1) S-A13-20. - PubMed
    1. Schmal H., Markmiller M., Mehlhorn A.T., Sudkamp N.P. Epidemiology and outcome of complex pelvic injury. Acta Orthop Belg. 2005;71(1):41–47. - PubMed
    1. Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg. 1988;70(1):1–12. - PubMed
    1. Young J.W., Burgess A.R., Brumback R.J., Poka A. Pelvic fractures: value of plain radiography in early assessment and management. Radiology. 1986;160(2):445–451. - PubMed

LinkOut - more resources