The fracture bleeds; there is blood in the joint, and the pain when bearing weight is then more intense. Dr. Jouffroy
Pelvic fractures are diagnosed using imaging tests. Pelvic X-rays can visualize some fractures, but they don’t always detect sacral fractures or minimally displaced fractures. A CT scan is the gold standard, allowing for a precise assessment of the fractures. The Rommens classification determines the severity and prognosis to select the most appropriate treatment.
Treating a pelvic fracture with or without surgery?
A pelvic fracture doesn’t always require surgery. “When there is significant displacement or very severe pain, surgery may be necessary to stabilize the fracture ,” explains the orthopedic surgeon. Today, percutaneous surgery allows for the placement of fixations without fully opening the pelvis. “This greatly relieves pain for elderly people when the fracture is very painful,” adds Dr. Jouffroy. Hospitalization typically lasts three to five days. Afterward, the patient can go to a rehabilitation center or return home if they are not isolated.
In most cases, approximately 95% of pelvic fractures, functional treatment is sufficient. This primarily involves relieving pain with appropriate analgesics and maintaining the patient’s mobility as much as possible, using suitable walking aids and gradually increasing weight-bearing. Hospitalization typically lasts only a few days.
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