ABSTRACT

Pelvic fractures may be due to low or high energy trauma, and consist of pelvic ring fractures and acetabular fractures, mainly due to blunt trauma. The likelihood of associated injuries in high energy trauma is 65%, usually involving the abdominal and pelvic viscera. In the haemodynamically unstable patient with severe pelvic fracture, there is a 90% risk of associated injury, a 50% risk of extra-pelvic bleeding, and a 30% risk of intra-abdominal bleeding.