Treatment of Pelvic Fractures

Significant force is needed to fracture a pelvis. Pelvic fractures can be associated with serious retroperitoneal injuries including vascular and genitourinary trauma. Frequently traumatic brain, intrathoracic, intra-abdominal, and other musculoskeletal injuries accompany pelvic fractures. Unfortunately, there is no single, straightforward algorithm for managing pelvic fractures. The patient’s hemodynamic status is the best guide for treatment. Outcomes depend on good judgment by the surgeon, a firm understanding of the physiology of the injury, and coordination of the appropriate therapies with the orthopedic and interventional teams. Knowledge of anatomy and a high index of suspicion are key factors for optimal management. Timely and appropriate decision-making, while not easy, will be lifesaving.