Forecast
The prognosis of a pelvic ring fracture depends on the severity of the fracture and especially on the concomitant injuries. With adequate treatment, pelvic ring fractures generally have a very good prognosis. Type A fractures usually heal completely and without consequences, and type B and C fractures, i.e. unstable fractures, also have a good prognosis with appropriate treatment. If the fracture had to be treated surgically, general surgical risks such as wound healing disorders and infections influence the prognosis. However, depending on the concomitant injuries to surrounding organs, incontinence and erectile dysfunction as a result of the pelvic ring fracture can also remain and thus considerably reduce the quality of life.
Prophylaxis
In order to prevent pelvic ring fractures, it is very important to determine the risk of falls among older people and to take appropriate measures if the risk is high. Prophylactically, stabilising aids such as a walking stick or a rollator are useful. Care should also be taken to remove factors that encourage falls, such as slippery carpets, and to climb as few steps as possible.
Often falls and consequently pelvic ring fractures can be avoided by wearing closed and non-slip shoes. Balance exercises are also useful to prevent future falls. If there is still a high risk of falling despite all measures, so-called hip protectors can be used.
These are special trousers into which pads are sewn as protective elements which can then cushion falls. If osteoporosis or another underlying disease affecting bone stability is present, its adequate treatment is very important in order to restore or at least maintain bone stability as far as possible.
