Pelvis fracture

The pelvis is made up of two Pelvic Bones or two Hemipelvis (Two Unnamed Bones), each one made up of three different bones: Ilium, the largest bone located in the upper part; Pubis, the pelvic bone located anteriorly, and the Ischium, the lower pelvic bone located posteriorly. Each Hemipelvis is joined anteriorly by the Pubis Symphysis, and posteriorly to the Sacrum by the Sacroiliac Joint. In younger people, severe fractures involving the entire pelvis occur mainly from high-speed car accidents or a fall from a great height. Older people with osteoporosis are very prone to this type of injury.

Syntoms:
The fracture in the pelvis causes a lot of pain in the groin and in general in the waist, regardless of the position in which the patient is. They are of a high complexity since they can cause rapidly fatal hemorrhages and cause injuries to other internal pelvic organs such as the Bladder, the Rectum. Hematomas on the skin around the waist are common and if other structures were injured, blood may appear in the urine, incontinence and bleeding from the rectum or vagina.

Handling:
Depending on the type of fracture that occurs, the treatment to follow is recommended: Stable fractures or in areas without compromising the stability of the pelvic ring, with a patient without imminent compromise of his life: No surgical intervention is done, analgesics are prescribed and it is recommended to walk with the help of support elements, seeking to maintain muscle activity during the time that the fracture will heal, time in which the pain will decrease progressively.

Unstable fractures, patient with evidence of imminent life commitment: An External Fixator is installed in order to immobilize the pelvis until the patient's conditions are optimal and surgery can be performed to reduce or align the bone fragments and be fixed with implants type plates and screws. After surgery, the patient should start walking as soon as possible to speed up the process of sanctioning and gait rehabilitation.