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Updated: Jan 4, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

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Operative Treatment of Pediatric Pelvic and Acetabulum Fractures

Victor A de Ridder1, Steven A Olson2

  • 1Department of Pediatric Trauma, Wilhelmina Children Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.

Journal of Orthopaedic Trauma
|November 6, 2019
PubMed

Insights

Pediatric pelvic fractures are rare and often occur in multitrauma patients. Specialized care is crucial for optimal outcomes, with surgery reserved for displaced fractures to restore pelvic anatomy.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology

Background:

  • Pediatric pelvic fractures are uncommon and distinct from adult fractures in cause and presentation.
  • These injuries frequently occur in severely injured multitrauma pediatric patients.

Purpose of the Study:

  • To outline the unique aspects of pediatric pelvic fractures.
  • To discuss management strategies and outcomes for pediatric pelvic fractures.

Main Methods:

  • Review of literature and clinical experience concerning pediatric pelvic fractures.
  • Analysis of treatment approaches for displaced and nondisplaced fractures, including operative and nonoperative management.
  • Consideration of growth plate involvement and long-term sequelae.

Main Results:

  • Most pediatric pelvic fractures are associated with severe injuries, with outcomes often dictated by these comorbidities.
  • Operative treatment is indicated for displaced fractures to reconstruct the pelvic ring, but morbidity is frequently linked to associated trauma.
  • Nondisplaced acetabular fractures and physeal injuries are typically managed nonoperatively.

Conclusions:

  • Optimal outcomes for pediatric pelvic fractures are achieved in specialized centers.
  • Restoring pelvic symmetry is key to long-term prognosis.
  • Acetabular dysplasia is a significant potential complication in this patient group.

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