Lower Limb Fractures

Pelvic fracture is a disruption of the bony structure of the pelvis, including the hip bone, sacrum and coccyx. They include pelvic ring fractures, acetabular fractures SI joint & pubic joint disruption, and avulsion injuries. The most common cause in elderly is a fall, but the most significant fractures involve high-energy forces such as a motor vehicle accident, cycling accidents or a fall from significant height. Diagnosis is made on the basis of history, clinical features and special investigations usually including X-ray and CT.Many digestive and reproductive organs are located within the pelvic ring. Large nerves and blood vessels that go to the legs pass through it. The pelvis serves as an attachment point for muscles that reach down into the legs and up into the trunk of the body. With all of these vital structures running through the pelvis, a pelvic fracture can be associated with substantial bleeding, nerve injury, and internal organ damage.

These fractures are considered as Orthopedic emergency & need urgent stabilization & might need life support management.

Stable -In which the pelvis has one break point in the pelvic ring, limited bleeding and the bones are staying in place. This type is considered good prognosis with early recovery.
Unstable-In which there are two or more breaks in the pelvic ring with moderate to severe bleeding. This type is often associated with visceral injuries .Such cases are management by joint efforts from orthopedic surgeon & General surgeon.