What is Malgaigne fracture?

1. The Malgaigne fracture was defined by a famous French anatomist and orthopedic surgeon in the 1800s. The Malgaigne fracture develops as a fracture of both pubic rami and the posterior region of the sacroiliac complex. Namely, it is a fracture of both the anterior and posterior regions of the pelvis.

What is a pubis fracture?

A pelvic fracture is usually diagnosed by the presence of bone tenderness, difficulty walking or doing other movements and any loss of nerve function in the lower part of the body. There may be injuries to organs within the pelvic ring such as the intestines, kidneys, bladder or genitals.

How long can you leave a pelvic binder on?

To prevent skin pressure necrosis, pelvic binders are recommended not to be applied for more than 24 h. However, soft tissue injury can occur if a continuous pressure compression exceeding 9.3 kPa (73 mm Hg) lasts for more than 2–3 h.

Can you walk with a pubic ramus fracture?

You can usually walk straight away with a pubic ramus fracture and your physiotherapist will encourage you to do so if you are generally well enough. This is because walking is the best thing for improving your circulation and speeding up healing.

Can you walk with a fractured pubic bone?

With a broken pelvis you cannot walk, sit or move well without pain. The pelvis protects the bladder, intestines and many important blood vessels. Many of the important leg muscles and abdominal muscles attach to the pelvis and allow for body motion and function.

Can you walk again after a broken pelvis?

After pelvic fracture surgery, patients are not allowed to bear weight or walk for six to 10 weeks. You will be taught by physical therapy to use crutches or a walker before leaving the hospital. Your doctor may decide to put you on a blood thinner after surgery for 2-6 weeks depending on your risk factors.

How much blood can you lose from a pelvic fracture?

In unstable pelvic ring fractures a blood loss of approximately 9 to 15 units of blood has to be expected whereas total blood loss is mainly evaluated retrospectively and indirectly (3). The acute total blood loss and hemodynamic status of the patient can be assessed by clinical shock signs.

Can you walk around with a broken pelvis?