Pelvic and acetabular surgery treats fractures or injuries to the pelvis and acetabulum, caused by major trauma such as accidents or falls. Surgery restores shape and stability, improving movement and reducing pain.

Overview of the procedure

Pelvic and acetabular surgery treats fractures or injuries to the pelvis and acetabulum, caused by major trauma such as accidents or falls. Surgery restores shape and stability, improving movement and reducing pain.

Common reasons for pelvic and acetabular surgery

Pelvic and acetabular surgery may be recommended for:

• Pelvic fractures
• Acetabular fractures (fractures of the hip socket)
• Unstable pelvic injuries
• Hip joint displacement due to trauma
• Fractures causing difficulty walking or severe pain

Pelvic and acetabular fracture

When is a procedure or surgery needed

Surgery is required when the bones are out of position (displaced), the hip joint is unstable, or the fracture would not heal correctly without fixation.

Procedure Details

Why is it done?

The aim is to restore the bones to their normal position, improve hip function, reduce pain and help patients return to daily activities safely.

Instructions before the procedure

Your healthcare team may advise you to:

• Avoid eating or drinking for several hours before surgery
• Stop certain medicines, such as blood thinners, if instructed
• Inform your doctor about any allergies or medical conditions
• Arrange for help at home during recovery

Step-by-step overview (non-technical)

• Anaesthesia is given so you do not feel pain during surgery
• The surgeon makes an incision near the injured area
• The broken bones are carefully moved back into the correct position
• Metal plates and screws may be used to hold the bones in place
• The surgeon checks the alignment of the hip joint and pelvis
• The incision is closed with stitches or staples, and a dressing is applied

Type of anaesthesia

Pelvic and acetabular surgery is usually performed under general anaesthesia.

Duration

The surgery may take 2–6 hours, depending on the severity and complexity of the fracture.

Risks & Complications

• Significant blood loss, injury to blood vessels
• Wound infection and blood clots
• Hardware complications due to the placement of plates or screws

Benefits & Outcomes

Expected results

• Significant reduction in hip and pelvic pain
• Improved ability to walk, stand and perform daily tasks
• Restored bone alignment and improved hip joint stability

How does it improve the quality of life

• Improved ability to stand and walk
• Better hip joint function
• Reduced pain
• Improved stability of the pelvis and hip
• Better return to daily activities and independence

During Hospital Stay

Instructions on the day of the procedure

• Wear loose clothing
• Remove jewellery and nail polish
• Arrive early for admission

Post-procedure monitoring

• Nurses will monitor breathing, blood pressure and pain levels
• The surgical wound and leg movement will be checked
• Medicines may be given to prevent blood clots and infection
• Physiotherapy may begin early to improve movement and strength

Recovery & Aftercare

Hospital stay

Most patients stay in the hospital for several days, depending on the severity of the injury and the progress of recovery.

Recovery timeline

• First 1–2 weeks: Pain control, wound care and gentle movement
• Weeks 3–8: Gradual increase in activity and physiotherapy
• After 2–3 months: Walking ability improves steadily
• Several months: Full recovery may continue over time, depending on the injury

Activity Restrictions

During recovery:

• Avoid putting full weight on the affected leg unless advised
• Avoid heavy lifting and sudden twisting movements
• Use walking aids if recommended

Wound Care/Precautions

• Keep the wound clean and dry until fully healed
• Do not soak the wound in water; avoid baths and swimming until advised
• Do not apply creams or ointments unless prescribed
• Report signs of infection to your doctor promptly

Lifestyle & Prevention

Recommended Diet

Eat a balanced diet rich in calcium, protein and vitamins to support bone healing.

Long-term Care

Continue physiotherapy exercises and maintain a healthy weight to reduce strain on the hip and pelvis.

Preventing Recurrence

• Use seat belts and follow road safety measures
• Prevent falls by keeping walkways safe
• Maintain good bone health through exercise and nutrition

When to Contact a Doctor

Red flag symptoms

• Bleeding on the incision site
• Fever or chills
• Severe swelling or pain

Follow-up schedule

Follow-up visits are usually scheduled within a few weeks after surgery and then regularly to monitor healing with X-rays.

Myths and Facts

FAQs