Abstract

Severe pelvic fractures are often accompanied with injuries to abdominal and pelvic organs and nerves and vessels as well. Timely operations for pelvic fractures may be delayed due to urgent management of serious and life-threatening injuries, rendering the fractures obsolete. Patients with severe obsolete pelvic fracture often sustain severe pain, unstable pelvis, neurovascular injuries and organ dysfunction associated with pelvic malunion and malalignment which can only be treated by surgery. This paper reviews the literature and summarizes clinical manifestations of the fracture, indications for surgery, surgical treatment algorithms and difficulties encountered during operation, with an aim to provide useful information for management of obsolete pelvic fractures. Key words: Pelvis; Old fractures; Fracture, nonunion; Deformity

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