Complex Pelvic Acetabular Trauma

An acetabular fracture is a painful injury usually caused by a high-impact accident, but it sometimes occurs due to weakened bones caused by osteoporosis. If you have an acetabular fracture, you should see your healthcare provider right away. Acetabular fractures usually require surgery to repair.

Pelvic fracture is the leading cause of morbidity and mortality in musculoskeletal trauma. Among these fractures, complex pelvic fracture is a group that has a higher rate of morbidity compared to the other pelvic fracture. Complex pelvic fracture is defined as a pelvic fracture with soft tissue injury in the pelvic region, which includes urogenital structure, rectum, sigmoid, lumbosacral plexus, and retroperitoneal vessels, and accompanied with hemodynamic instability of the patient.

Treatment of complex pelvic fracture consist of bleeding management, hemodynamic restoration, stabilization of the pelvic ring, and a quick and accurate diagnosis and surgery. Fixation of the anterior and posterior segment as soon as possible yield the best result. During the early phase, external fixation is used for temporary pelvic stabilization. And when the patient’s hemodynamic state stabilized, definitive internal fixation surgery was performed, usually in 5-7 days.