Pelvi-acetabular surgeries are specialized procedures performed to treat complex fractures of the pelvis and acetabulum (the socket of the hip joint). These injuries are often the result of high-impact trauma, such as road traffic accidents, falls from height, or industrial injuries. Timely and expert management is critical, as these fractures involve major weight-bearing bones and often occur near vital organs, blood vessels, and nerves.

As an orthopedic trauma and joint replacement specialist based in Indore, I, Dr. Anupam Khandelwal, am extensively trained in managing such complex injuries using minimally invasive techniques and modern surgical protocols. pelvi – acetabular surgeries can be dealt with advanced Trauma Care by Dr. Anupam Khandelwal.

What Are Pelvi-Acetabular Fractures?

Pelvic fractures involve any break in the ring-like structure of bones connecting the spine to the lower limbs.
Acetabular fractures occur in the socket part of the hip joint where the femoral head fits in.

These injuries are rare but serious, often requiring emergency stabilization, imaging, and surgical intervention. Depending on the severity and displacement, patients may need open reduction and internal fixation (ORIF) or reconstruction with plates and screws.

Causes and Risk Factors

Pelvi-acetabular fractures typically occur due to:

Road traffic accidents (especially two-wheelers or side-impact car crashes)
Falls from significant height
Crush injuries in industrial settings
High-energy sports trauma
Osteoporosis-related fragility fractures in elderly patients (less common)

Signs and Symptoms

These fractures are often accompanied by:

Severe pelvic or groin pain
Inability to stand or walk
Visible deformity or swelling
Internal bleeding or shock
Neurological symptoms like numbness or weakness in the legs

Early diagnosis and prompt treatment are life-saving in many such cases.

Diagnosis and Imaging

We rely on a multimodal diagnostic approach, including:

X-rays for initial fracture detection
CT scans with 3D reconstruction for detailed planning
MRI if soft tissue or nerve involvement is suspected

Treatment Approach at Our Center

At my orthopedic practice in Indore, pelvi-acetabular surgeries are conducted with a patient-centric and evidence-based approach. The goal is to restore anatomy, preserve mobility, and avoid long-term disability.

Non-Surgical Management

Used in stable, undisplaced fractures
Includes bed rest, pain management, and physiotherapy
Close monitoring with serial imaging

Surgical Management

For displaced or unstable fractures, we offer:

Open Reduction and Internal Fixation (ORIF)
Minimally Invasive Pelvic Fixation
Percutaneous Screw Fixation
Acetabular Reconstruction with Buttress Plates
Robotic-assisted techniques (if indicated)

Surgery is typically performed under general or spinal anesthesia, and post-operative care includes ICU monitoring, infection control, and early rehabilitation.

Why Choose Dr. Anupam Khandelwal for Pelvi-Acetabular Surgery in Indore?

✔️ Fellowship-trained in trauma and joint reconstruction
✔️ Expertise in high-energy polytrauma management
✔️ Use of intraoperative fluoroscopy and modern implants
✔️ Strong support from anesthetists, ICU, and physiotherapy team
✔️ Personalized rehabilitation plans for faster recovery

Our team provides care in line with global standards set by AO Trauma and SICOT (International Society of Orthopaedic Surgery and Traumatology).

Recovery & Rehabilitation

Recovery depends on the severity of the fracture and type of surgery. Key phases include:

Initial ICU care for polytrauma or internal bleeding cases
Pain control and prevention of complications like DVT or bed sores
Gradual mobilization using walkers or crutches
Weight-bearing protocol based on surgical stability (typically after 6-8 weeks)
Physiotherapy to regain joint range, muscle strength, and walking ability

A full recovery may take 3 to 6 months, and return to work or normal life is usually possible.

Risks and Complications

Like all major surgeries, pelvi-acetabular operations carry some risks:

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

However, with timely care and expert hands, most patients recover well without significant long-term issues.

Testimonials

“After my accident, I was referred to Dr. Anupam Khandelwal. I had a complex acetabular fracture. Thanks to his expertise and caring nature, I was walking again in 3 months. He gave me back my normal life!”
— R**** S****, Indore

Academic References

Letournel E, Judet R. Fractures of the Acetabulum. 2nd ed. Springer; 1993.
Matta JM. “Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury.” J Bone Joint Surg Am. 1996.
Tile M. “Pelvic ring fractures: should they be fixed?” J Bone Joint Surg Br. 1988.

Book a Consultation

If you or your loved one has suffered a pelvic or acetabular fracture, do not delay expert care. Book an appointment with me, Dr. Anupam Khandelwal, at my Indore clinic for personalized guidance and advanced surgical options.

📍 Clinic: Indore
📞 Phone: +91-8818814030
🌐 Website: www.dranupamkhandelwal.com

Remember: Early intervention can make all the difference in complex fractures. With the right treatment, most patients can regain a near-normal life.