Injury
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Pelvic malunions or nonunions are the result of inappropriate treatment of rotationally or linearly unstable injuries of the pelvic ring. Long-term sequelae such as chronic pain in the posterior pelvic ring, gait abnormalities, leg length discrepancy, sitting discomfort, neurological problems or impingement on the visceral organs may be secondary to the disturbed integrity of the pelvic ring. The late correction of the deformity is technically much more demanding than the treatment of acute pelvic ring injuries. ⋯ Possible complications include nerve or vascular injuries, incomplete reduction of the deformity, failure to unite, incomplete pain relief, and infection. Prior to surgery, a careful clinical and radiological examination is mandatory to assess the relationship between the presenting anatomical deformity and the complaints of the patient. The final decision for surgery has to be made by the patient taking into account reasonable expectation and the potential complications associated with the corrective procedure.
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The internal fixation of pelvic ring fractures and dislocations has become more popular recently. Aggressive resuscitation of the injured patient includes pelvic stabilization and improves survival rates. ⋯ Recent radiographic techniques for pelvic imaging facilitate comprehensive preoperative planning and intraoperative decision-making for pelvic injuries. Improved outcomes are expected as treatment is individualized for each patient.