Complex Trauma Care in Indore

Pelvi-Acetabular Surgeries

Pelvi-acetabular surgeries treat complex fractures of the pelvis and acetabulum, the socket of the hip joint.

These injuries are often caused by high-impact trauma such as road traffic accidents, falls from height or industrial injuries. Timely imaging, stabilization and expert surgical planning are important for mobility and long-term hip function.

Pelvic-ring and hip-socket fractures differ from fractures of the upper thigh bone.

By Dr. Anupam Khandelwal - Orthopedic & Joint Replacement Surgeon, Indore
Pelvis and hip-socket anatomy illustration
Pelvic-ring fracturesInjuries to the bony ring linking the spine and lower limbs. Acetabular fracturesInjuries to the socket of the hip joint. Fragility fracturesPelvic injuries after a low-energy fall in people with weak bones. Emergency assessment and imagingInitial trauma assessment comes before a planned operation discussion. Treatment and fixationStability, displacement and overall health guide treatment choices. Recovery and later hip problemsWalking precautions, rehabilitation and follow-up after injury.
Care Pathways

Find the Right Care Guide

Choose a concern below, then explore assessment, treatment and recovery resources.

Pelvic-ring fractures

Injuries to the bony ring linking the spine and lower limbs.

Fragility fractures

Pelvic injuries after a low-energy fall in people with weak bones.

Emergency assessment and imaging

Initial trauma assessment comes before a planned operation discussion.

When to Seek Urgent Care

Pelvic Trauma Can Need Emergency Care

Some pelvic injuries involve bleeding or other organ injuries. Emergency stabilisation takes priority over elective booking.

Fracture Type

What Are Pelvi-Acetabular Fractures?

Pelvic fractures involve the ring-like structure connecting the spine to the lower limbs, while acetabular fractures involve the hip socket.

Fracture Areas

  • Pelvic fracture - Break in the pelvic ring.
  • Acetabular fracture - Fracture of the socket where the femoral head fits.

Common Causes

  • Road traffic accidents.
  • Falls from significant height.
  • Crush or industrial injuries.
  • High-energy sports trauma.
  • Osteoporosis-related fragility fracture in elderly patients.
Signs & Imaging

Signs, Symptoms and Diagnosis

Early diagnosis and prompt treatment can be life-saving in complex pelvic and acetabular injuries.

Symptoms

  • Severe pelvic or groin pain.
  • Inability to stand or walk.
  • Visible deformity or swelling.
  • Internal bleeding or shock.
  • Numbness or weakness in the legs.

Imaging

  • X-rays for initial fracture detection.
  • CT scan with 3D reconstruction for surgical planning.
  • MRI if soft tissue or nerve involvement is suspected.

Pelvic trauma after an accident or fall should be assessed urgently.

Treatment

Treatment Approach at Our Center

The goal is to restore anatomy, preserve mobility and avoid long-term disability.

Non-Surgical Management

  • Stable, undisplaced fractures.
  • Pain management, protected activity and mobilisation as advised for the fracture.
  • Close monitoring with serial imaging.

Surgical Management

  • Open Reduction and Internal Fixation (ORIF).
  • Minimally invasive pelvic fixation.
  • Percutaneous screw fixation.
  • Acetabular reconstruction with buttress plates.
Recovery

Recovery, Rehabilitation and Risks

Recovery depends on fracture severity, surgical stability and associated injuries.

Rehabilitation

  • Initial ICU care in polytrauma or bleeding cases.
  • Pain control and prevention of DVT or bed sores.
  • Gradual mobilization with walker or crutches.
  • Weight-bearing and walking-aid instructions depend on fracture healing, fixation and associated injuries.
  • Physiotherapy for joint range, strength and walking.

Possible Risks

  • Infection.
  • Blood clots.
  • Nerve or vascular injury.
  • Non-union or malunion.
  • Post-traumatic arthritis in the hip joint.

Book Consultation

Book expert care for pelvic or acetabular fracture

If you or a family member has suffered a pelvic or acetabular fracture, timely expert evaluation can protect mobility and reduce complications.

Dr. Anupam Khandelwal provides advanced trauma care and surgical planning in Indore.

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