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. 2025 Aug 7;14(15):5593.
doi: 10.3390/jcm14155593.

Comprehensive Management of Different Types of Pelvic Fractures Through Multiple Disciplines: A Case Series

Bharti Sharma  1   2 , Samantha R Kiernan  3 , Christian Ugaz Valencia  2 , Omolola Akinsola  1 , Irina Ahn  4 , Agron Zuta  4 , George Agriantonis  1   2 , Navin D Bhatia  1   2 , Kate Twelker  1   2 , Munirah Hasan  1   2 , Carrie Garcia  1 , Praise Nesamony  1 , Jasmine Dave  1   2 , Juan Mestre  1   2 , Zahra Shafaee  1   2 , Suganda Phalakornkul  1   2 , Shalini Arora  1   2 , Saad Bhatti  1   2 , Jennifer Whittington  1   2
Affiliations

Comprehensive Management of Different Types of Pelvic Fractures Through Multiple Disciplines: A Case Series

Bharti Sharma et al. J Clin Med. .

Abstract

Background: Pelvic fractures are complex injuries often associated with significant morbidity and mortality, requiring multidisciplinary management. This case series highlights the presentation, management strategies, and outcomes of patients with pelvic fractures treated at our institution. Methods: The medical records of 13 patients diagnosed with pelvic fractures from 1 January 2020 through 31 December 2023 were retrospectively reviewed. Demographic data, mechanism of injury, fracture pattern, associated injuries, treatment modalities, and outcomes were analyzed. Results: A total of 13 patients were included in the study, with ages ranging from 18-95 years. Six of the patients were male and seven were female. The most common mechanisms of injury were falls and pedestrians struck by vehicles. Associated injuries included traumatic brain injury (TBI), fractures including extremities, ribs, and vertebrae, visceral injury, and spinal cord injury. Treatment strategies ranged from conservative, non-surgical management to operative intervention, including interventional radiology embolization, external traction, open reduction and internal fixation (ORIF), and percutaneous screw stabilization. Additional interventions included chest tube placement, exploratory laparotomy, and craniectomy. Two patients died while in the hospital, one was discharged to a shelter, and the remaining 10 were discharged to various inpatient rehab facilities. Conclusions: Pelvic fractures pose significant clinical challenges due to their complexity and associated injuries. This case series underscores the importance of multidisciplinary intervention and treatment strategies in optimizing outcomes. Further studies should focus on the effectiveness of interventions, utilization of new technology, and multidisciplinary team planning.

Keywords: fractures; multiple; multiple trauma; patient care team; pelvis; sacrum.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Figure 1
Figure 1
CT abdomen/pelvis images of the described fractures in case 1. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 2
Figure 2
CT abdomen/pelvis images of the described fractures in case 2. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 3
Figure 3
CT abdomen/pelvis images of the described fractures in case 3. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 4
Figure 4
CT abdomen/pelvis images of the described fracture in case 4. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 5
Figure 5
CT abdomen/pelvis images of the described fracture in case 5. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 6
Figure 6
CT abdomen/pelvis images of the described fracture in case 6. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 7
Figure 7
CT abdomen/pelvis images of the described fracture in case 7. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 8
Figure 8
CT abdomen/pelvis images of the described fracture in case 8. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 9
Figure 9
CT abdomen/pelvis images of the described fractures in case 9. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 10
Figure 10
CT abdomen/pelvis images of the described fractures in case 10. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 11
Figure 11
CT abdomen/pelvis images of the described fractures in case 11. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 12
Figure 12
CT abdomen/pelvis images of the described fractures in case 12. Red arrows are used to indicate the location of pelvic fractures for easier identification.
Figure 13
Figure 13
CT abdomen/pelvis images of the described fractures in case 13. Red arrows are used to indicate the location of pelvic fractures for easier identification.
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