Pelvic and acetabular fractures are among the most demanding injuries in orthopaedic surgery. They usually follow high-energy trauma road traffic accidents and falls from height and the quality of the reconstruction directly determines whether the hip works well afterwards.
Dr. Vaibhav Bagaria treats complex pelvic and acetabular injuries at Sir H. N. Reliance Foundation Hospital, Mumbai.
The pelvis is a ring of bone that carries the weight of the upper body into the legs and protects major blood vessels, nerves and organs. The acetabulum is the socket of the hip joint, formed within the pelvis.
A pelvic ring fracture breaks the ring, which usually means it breaks in more than one place. Stability depends on which parts are involved and whether the supporting ligaments are intact.
An acetabular fracture extends into the hip socket itself. Because it involves a joint surface, restoring the surface accurately matters enormously irregularity leads to post-traumatic arthritis.
the most common cause, particularly car and two-wheeler collisions.
a frequent mechanism in construction and workplace injury.
industrial accidents.
in older adults with fragile bone, comparatively minor falls can fracture the pelvis.
less common but recognised.
In many patients, no specific underlying cause can be identified.
Always. Call emergency services for suspected pelvic fracture after significant trauma. Pelvic fractures can cause severe internal bleeding, and the following require immediate attention: inability to stand or bear weight after major trauma, severe pelvic or groin pain following an accident, signs of shock, blood in the urine or inability to pass urine, and numbness or weakness in the legs.
Do not attempt to move a person with a suspected pelvic fracture unless they are in immediate danger.
Follows trauma protocols, treating life-threatening injuries first. Pelvic fractures can bleed significantly and stabilisation may be needed urgently.
X-rays of the pelvis provide the initial picture. CT with 3D reconstruction is essential for surgical planning, showing the fracture pattern, joint surface involvement and displacement in detail. CT angiography may be used where vascular injury is suspected.
Dr. Bagaria's patented technique for converting scan data into 3D-printable models allows complex fracture patterns to be studied and the reconstruction planned before surgery.
Selected stable fractures where the pelvic ring is intact and the joint surface is not significantly displaced may be treated with protected weight-bearing, pain management, thromboprophylaxis and structured mobilisation.
Where the pelvic ring is unstable, where the fracture extends into the hip socket with displacement, where the hip is unstable or dislocated, and where accurate restoration of the joint surface is needed to preserve the hip.
Rehabilitation remains essential. The aim of treatment is not simply to improve movement during a procedure but to maintain that movement through structured physiotherapy afterwards.
Physiotherapy immediately after the procedure is important. The procedure helps restore movement, while rehabilitation helps preserve and improve that movement during recovery.
Hip fracture and complex trauma
Post-traumatic arthritis
Hip arthritis
Over two decades of orthopaedic surgical
experience
Internationally fellowship-trained in the USA,
Germany and Australia
Surgery recommended only when it is
genuinely the better option
Among India's earliest robotic joint
replacement surgeons
150+ peer-reviewed publications and multiple
device patents
Structured rehabilitation planned before the
operation, not after
Dr. Vaibhav Bagaria is Director and Head of the Department of Orthopaedics at Sir H. N. Reliance Foundation Hospital, Mumbai, and one of the earliest surgeons in India to adopt robotic joint replacement. Over twenty-two years of practice he has treated patients across the full range of bone and joint conditions, with a particular focus on robotic knee and hip replacement, partial knee replacement, sports injury and arthroscopy, and complex pelvic and acetabular reconstruction.
Name
Dr. Vaibhav Bagaria
Experience
20+ Years
Qualifications
MS (Ortho) FASSI, FNUS, FNAMS..
Speciality
Practice
Schedule your consultation with Dr. Vaibhav Bagaria today
Dr Vaibhav Bagaria
Prarthana Samaj, Khetwadi, Girgaon,
Mumbai, Maharashtra 400004
02261305757
