Treatment of Pelvic Fractures

Significant force is needed to fracture a pelvis. Pelvic fractures can be associated with serious retroperitoneal injuries including vascular, gastrointestinal, 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. Outcomes depend on good judgment by the surgeon, a firm understanding of the physiology of the injury, and coordination of the appropriate therapies. 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.