The fractures involving pelvis are always more common due to the increased number of car accidents. These can be divided into three big groups:
– Fractures provoking the discontinuity of the pelvis and loss of stability.
Examples of this type are: fractures of the superior and inferior blade (around the obturator foramen), the fractures of the pubic symphysis (the so called butterfly fracture).
– Fractures provoking the discontinuity of the pelvis, maintain, however, the stability.
Exemples are: the isolated fracture of the pelvis, the isolated fracture of the ischium.
– Fractures and dislocations involving the hip articulation, with or without the fracture of the acetabulum.
The pelvis fractures have a high incidence of serious complications that is why it is fundamental a prompt intervention from the side of orthopaedic surgeons at first, but also a prudent behaviour during the rehabilitation. You could have faced long periods of hospitalization with associated problems, neurologic or cardiovascular as well. When you will arrive in Isokinetic, the load will always be decided under the suggestion of the surgeon who performed the intervention and it will be gradual and progressive.
It is interesting to mention the possible complications involving the nervous system, since they can be precocious and manifest immediately with clinic conditions of a certain relevance or later on with more serious damages. In general, a nervous lesion appears in 1-5% of cases of pelvis fractures. The percentage increases to 18% if both the pelvic arches are interested, arriving up to a maximum of 33% when dealing with posterior acetabulum fractures accompanied by hip dislocation. The nerve that is more commonly involved in these occurrences is the sciatic nerve.
Rehabilitation will usually last from 4 to 6 months, even if some variables, such as age, need to be taken into consideration.