1 Introduction top
The decision for operative or nonoperative treatment of pelvic ring injuries is based on:
- Fracture stability, displacement, and pattern
- Patient factors
- Surgical skill and availability of equipment
Pelvic ring stability is assessed by the type and location of fractures and joint injuries involving the pelvic ring.
2 Treatment topenlarge
Coccygeal fractures and dislocations usually have little deformity. If there is significant angulation, closed reduction with local anaesthesia and digital intra-anal manipulation may be considered. The use of a donut cushion (central hollow area) or other pillow for sitting is usually helpful.