THE pelvis is a rigid, box-like structure that requires major extrinsic forces to fracture. Consequently, most pelvic fractures are associated with a significant traumatic insult, usually a road traffic accident. Frequently, there are concomitant potentially life-threatening internal injuries. These are often occult and should always be considered before any treatment of the orthopaedic injury is initiated. Treatment of pelvic fractures involves either non-surgical or surgical management, depending on the type of fracture. This article reviews these treatment options and discusses the indications for each. In particular, it describes the management of those fractures which are likely to benefit from surgical intervention.
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