Surgeons like to fix these pelvic fractures as soon as possible. Surgical TreatmentĪn unstable broken pelvis requires surgery. Most patients will be placed on a blood thinner to avoid clots for 2-6 weeks. Physical therapy for hip and knee range of motion is started around 6 weeks once bone has healed enough to prevent displacement with motion. Depending on health and injury pattern this bone can take 3-4 months to heal without surgery. Patients will require gait aids such as crutches or walkers. Some types of fractures allow for immediate weight bearing while others do not. One fall or continued lack of compliance with early walking against medical advice can cause bones to move and result in the need for surgery. Cutting down or quitting smoking and tight blood sugar control if you are a diabetic is important for the healing process. If non-operative care is chosen, regular follow-up care for a physical exam and x-rays is important to ensure that the fracture stays in good position and heals appropriately. Insufficiency fractures in elderly patients are usually treated non-operatively as well. These include isolated pubic ramus fractures, isolated sacral fractures, avulsion fractures and some iliac wing fractures. Nonsurgical treatment is recommended for stable pelvic fractures that are non-displaced. Severe pelvic fractures usually require surgery. Treatment for pelvic fractures can be non-surgical or surgical depending on the stability of the broken bone and whether the fracture is displaced or not. In elderly patients with pelvis pain and normal x-rays or CT scans, an MRI is sometimes ordered to diagnose a fracture due to weak bone or osteoporosis known as an insufficiency fracture. These can create a 3-D image of the injury broken pelvic bone which gives doctors specific knowledge about the size and location of the broken bones.
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