Unstable pelvic ring disruptions in unstable patients

Management of the patient with a high-energy pelvic fracture requires a multidisciplinary team approach with coordination between the general surgery, orthopaedic surgery, neurosurgery, and urology teams. Resuscitation and initial evaluation efforts are critical in stabilization of the patient. An understanding of the complex nature of the pelvic anatomy and injury patterns, the associated injuries, and various treatment fixation constructs are necessary for a successful outcome. This review outlines the initial stabilization and definitive management for the spectrum of pelvic ring disruptions. Case examples illustrate the discussion.