Treatment of a Broken Pelvis
Treatment of a Broken Pelvis depends on whether the fracture is stable or unstable, and whether internal organs or blood vessels are involved. The primary goal of treatment of a broken pelvis is to stabilise the bones, control pain, manage any complications, and restore mobility through rehabilitation.
Stable fractures with minimal displacement are usually treated conservatively. Patients are advised to rest, take pain-relief medication, and limit weight-bearing activities. Bed rest is often necessary for several days, followed by a gradual return to walking with the help of a walker or crutches.
Unstable fractures — where the pelvic ring is disrupted or multiple fractures are present — require hospitalisation. These injuries are often associated with significant internal bleeding and may involve damage to the bladder, urethra, or intestines.
In such cases, surgical intervention is often required. Pelvic stabilisation may involve inserting metal plates, screws, or external fixators to realign the bones. If bleeding is present, embolisation (a procedure to stop blood flow to a bleeding vessel) may be done urgently before orthopaedic surgery.
Pelvic binders may be applied in emergency settings to stabilise the bones temporarily and limit internal bleeding until further imaging or surgery can take place.
Pain management is essential and often includes a combination of paracetamol, NSAIDs, and sometimes opioids for short-term relief. Blood transfusions and antibiotics may also be required in trauma cases.
Treatment of a Broken Pelvis
Rehabilitation begins once the bones start healing. Physiotherapists guide patients through mobility exercises, posture correction, and strength-building routines. The recovery timeline depends on the fracture type but typically ranges from 8 to 12 weeks or more.
Patients with osteoporosis may be prescribed bone-strengthening medication and receive guidance on fall prevention. Lifestyle changes, including calcium-rich diets and vitamin D supplementation, support long-term recovery.
Proper treatment of a broken pelvis also involves psychological support. Many patients, especially after traumatic injury, experience fear, anxiety, or depression, which can hinder recovery if not addressed.
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