When surgery isn't required, pelvic fracture treatment consists of using a walker or crutches for up to three months while the bones heal, along with medications for pain management, notes the American Academy of Orthopaedic Surgeons. Surgical remedies are necessary for unstable fractures and involve an external fixator.
Doctors use X-rays to determine the degree to which the bones in the pelvis are out of place after a fracture. In some cases, they also use a CT scan to determine the severity of the injury to the pelvis. The examination also looks at the nerves and blood vessels in the legs, according to the AAOS.
If the fracture is stable, surgery is generally unnecessary. While the bones heal, the patient has to keep his weight off one or both legs, necessitating the use of a walker or crutches for mobility while the bones heal, a process that takes as long as three months. Doctors often prescribe blood thinner medications, as the period of healing often involves limitation of movement, which can result in clot formation, reports the AAOS.
When surgery is necessary, the surgeon sometimes attaches an external fixator to the bones on either side of the pelvis with long screws. The surgeon also takes care of other internal injuries, such as to the nerves, blood vessels and nearby organs. After surgery, the next step may be traction or remaining in the fixator. Inserting screws or plates is another possible surgical intervention, depending on the injury, adds the AAOS.