Best Pelvis Fracture Treatment In Delhi NCR.

What is Pelvis Fracture?

A pelvis fracture is a break in one or more of the bones that make up the pelvis, which is the large bony structure that forms the base of the spine and supports the weight of the upper body. The pelvis is made up of several bones, including the ilium, ischium, and pubis, which are held together by strong ligaments and muscles.

Causes of Pelvis Fracture

Pelvic fractures can be caused by a variety of factors, including:

  1. Trauma: Pelvic fractures are often caused by high-energy trauma, such as a car accident, fall from a significant height, or sports-related injury.
  2. Osteoporosis: Weakening of the bones due to osteoporosis can make them more susceptible to fractures, including in the pelvis.
  3. Repetitive stress: Repetitive stress from activities such as running or jumping can cause stress fractures in the pelvis over time.
Signs and Symptoms of Fractured Pelvis
  • A history of a road traffic accident or fall from a height
  • You may be in a state of shock due to the large amount of blood loss (hypovolemic shock)
  • Severe abdominal pain
  • Cold and clammy skin
  • Inability to walk
  • Sweating
  • A raised heart rate
  • Injuries and/or fractures to other areas
Classification

Pelvic fractures can be classified as either :-

Stable (the pelvic ring is intact)

  • Stable fractures can involve other bony areas of the pelvis such as the ischial tuberosity, ramus and iliac without affecting the pelvic ring.

Unstable where the pelvic ring is disrupted and

  • Unstable fractures which do involve the pelvic ring can result in a number of complications:
    • Injury to major nerves
    • Damage to internal organs including the intestines, bladder and urethra
    • Serious haemorrhaging if nearby major blood vessels are damaged
Treatment for Fractured Pelvis
This depends on the type and severity of the fracture. There are a range of treatment options including:
  • Conservative (non surgical) treatment for stable fractures includes bed rest to allow healing, physiotherapy, traction (a device used to realign the broken bones) and pain control modalities
  • Unstable fractures need to be treated surgically. Most are treated by open reduction internal fixation (ORIF) which realigns the broken bones and metal screws, plates or pins are then used to hold the bones in the correct position.
  • External fixators (a metal device outside the body) may be used if the unstable fracture is in a number of areas (communited)
Physiotherapy for Stable Fractured Pelvis

Stable fractures can be treated conservatively (non surgical)

Treatment options at this point will include:

  • Static (isometric) exercises to strengthen the surrounding hip muscles including gluteal, hamstring and quadriceps muscles
  • Range of movement exercises at other joints including knee, ankle and foot
  • Maintaining upper limb activity.
  • Soft tissue techniques such as massage and frictions on muscles that may be tight due to bed rest.
  • Hydrotherapy to increase range of movement and reduce any muscle spasm.

 After 4-6 weeks you should be able to gradually return to weight-bearing activities including walking and stair climbing with the appropriate walking aid to suit you (e.g. crutches, zimmer frame)

Physiotherapy for Unstable Fractured Pelvis

Unstable fractures are treated with one of the surgical procedures listed above and physiotherapy rehabilitation will take a lot longer due to the severity of the injury. 

Initial phase  physiotherapy programme may include the following:

  • Cryotherapy and elevation exercises
  • Simple range of movement exercises in all unaffected joints
  • Strengthening exercises for surrounding muscles
  • Gentle massage on tight muscles
  • Pain modalities

After 3 weeks -7 weeks

  • Gradual strengthening
  • range of movement exercises around the pelvic area
  • Partial weight bearing and gait (walking) re-education in parallel bars for support
  • Upper limb strengthening and cardiovascular activity
  • Continuing with soft tissue techniques such as tissue release
  • Pain and swelling control
  • Progress to stair climbing if appropriate

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