Nailing
Pelvic and acetabular fractures are serious injuries often caused by high-impact trauma, such as road traffic accidents or falls from height. These fractures can involve the pelvic ring, acetabulum (hip socket), or both, and may lead to severe pain, bleeding, and mobility loss if not treated promptly.
Fracture fixation using intramedullary nailing (IM nailing) is a modern surgical method used to stabilize fractures of the pelvic bones, especially those involving the ilium, pubis, ischium, or acetabular columns—restoring alignment and allowing for early mobilization.
What Is Intramedullary (IM) Nailing for Pelvic Fractures?
Intramedullary nailing involves the insertion of a strong metal rod (nail) into the central canal of the bone to hold the fractured pieces in place. This method offers strong internal support, minimal soft tissue disruption, and faster recovery for select types of pelvic and acetabular fractures.
Surgical Procedure Overview:
- Imaging (X-ray/CT scan) to assess fracture pattern and displacement
- Patient placed under general or spinal anesthesia
- Small incisions are made to insert a guide wire and metal nail
- Nail is carefully positioned into the bone canal across the fracture
- Locking screws may be used for additional stability
- Incisions are closed, and a post-op rehab plan is initiated
Benefits of Nailing for Pelvic/Acetabulum Fractures:
- Strong and stable internal fixation
- Allows early mobilization and weight-bearing (if appropriate)
- Minimally invasive approach in select cases
- Reduces hospital stay and complications from prolonged bed rest
- Promotes faster fracture healing and recovery
Do’s After Surgery
- Follow your surgeon’s weight-bearing instructions
- Begin physiotherapy as soon as allowed
- Use mobility aids (walker/crutches) to avoid stress on healing bonesMonitor incision site for signs of infection
- Attend all follow-up imaging and rehab appointments
Don’ts After Surgery
- Do not put full weight on the leg unless approved
- Avoid twisting or sudden movements of the hip/pelvis
- Don’t skip medications or wound care instructions
- Avoid smoking—it impairs bone healing
- Do not delay rehabilitation exercises or physiotherapy