The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Advanced Pelvic Ring Fracture

Multidisciplinary management of unstable pelvic ring fractures including damage control and definitive fixation.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Advanced Pelvic Ring Fracture?

Pelvic ring fractures result from high-energy trauma and disrupt the bony ring formed by the sacrum and innominate bones; instability ranges from rotational (Tile B, Young-Burgess APC/LC) to vertically unstable injuries (Tile C, Young-Burgess VS).

Initial care follows ATLS principles with early pelvic binder, permissive hypotension, balanced resuscitation, REBOA or angioembolization for life-threatening bleeding, and rapid identification of urogenital, vascular and rectal injuries.

Definitive treatment uses anatomic reduction with anterior fixation (symphyseal plate, INFIX) and posterior fixation (sacroiliac screws, lumbopelvic fixation), often in staged damage-control orthopedics, with structured rehabilitation guided by injury pattern and stability.

Symptoms

Severe pelvic pain after high-energy trauma
Pelvic instability on examination
Hypovolemic shock
Bruising in perineum or scrotum
Hematuria and urethral bleeding
Sciatic nerve dysfunction
Open pelvic wound

Risk Factors

High-energy mechanism (motor vehicle, fall)
Polytrauma
Older patients with osteoporosis (low-energy posterior ring injuries)
Pelvic radiation history
Coagulopathy
Pregnancy
Prior pelvic surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Pelvic instability or shock at trauma scene
  • Confirmed pelvic ring fracture on imaging
  • Bleeding requiring angioembolization or surgery
  • Open or contaminated pelvic injury
  • Suspected urogenital or rectal injury
  • Need for tertiary trauma center transfer
  • Postoperative non-union, infection or chronic pain

Treatment Methods

01
ATLS resuscitation with pelvic binder
02
CT pelvis with contrast for classification and bleeding source
03
Angioembolization, REBOA or pelvic packing for hemorrhage
04
External fixation as damage control
05
Anterior fixation (symphyseal plate, INFIX, anterior subcutaneous fixator)
06
Posterior fixation (sacroiliac screws, transiliac transsacral, lumbopelvic)
07
Structured rehabilitation and surveillance for non-union, malunion and pain

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Low Back Pain and Lumbar Disc Herniation

Ortopedi ve Travmatoloji

Lumbar disc herniation occurs when the outer layer of the disc between the vertebrae tears and the inner part presses on nerve tissue, causing low back and leg pain.

Cervical Disc Herniation

Ortopedi ve Travmatoloji

Cervical disc herniation is a condition in which the disc between the vertebrae in the neck region presses on a nerve root or the spinal cord, causing neck, shoulder, and arm pain.

Knee Pain and Meniscus Tear

Ortopedi ve Travmatoloji

Meniscus tear is a tearing of the cartilage structures in the knee joint as a result of a sudden twisting movement or degeneration and is one of the most common causes of knee pain.

Shoulder Pain and Frozen Shoulder

Ortopedi ve Travmatoloji

Frozen shoulder (adhesive capsulitis) is a chronic condition characterized by inflammation and thickening of the shoulder joint capsule, causing restriction of movement in all directions and severe pain.

Bone Fractures

Ortopedi ve Travmatoloji

A fracture is partial or complete disruption of the integrity of bone tissue due to an external force or bone disease, and it can occur at any age.

Wrist Fracture (Distal Radius Fracture)

Ortopedi ve Travmatoloji

Distal radius fracture is one of the most common reasons for emergency room visits; it occurs when the radius bone fractures at the wrist end due to the hand being planted on the ground during a fall.

Hip Fracture

Ortopedi ve Travmatoloji

Hip fracture is a serious fracture mostly occurring in elderly individuals with osteoporosis due to a fall in the femoral neck or trochanteric region, and early surgical treatment is life-saving.

Ankle Sprain

Ortopedi ve Travmatoloji

Ankle sprain is a partial or complete tear of the ankle ligaments, most commonly involving the lateral ligament complex (ATFL, CFL, PTFL) after an inversion injury.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.