Pelvic and acetabular fractures are among the most serious and complex injuries treated in orthopaedic trauma care. These fractures involve the pelvis, which forms the foundation of the body’s skeletal stability, and the acetabulum, the cup-shaped socket that holds the hip joint in place. Unlike routine fractures of the arm or leg, pelvic and hip socket injuries often occur due to high-energy trauma and may involve joint displacement, internal bleeding, nerve injury, and long-term mobility impairment if not managed correctly and requires surgery. Pelvic and Acetabular Surgery in Gurgaon is performed under the expertise of Dr. Ramkinkar Jha, a trusted orthopaedic surgeon known for managing complex trauma fractures with precision, evidence-based techniques, and structured rehabilitation support.

This page serves as a detailed guide for patients and families seeking medically accurate information about pelvic fracture surgery, acetabular reconstruction, recovery timelines, risks, outcomes, and treatment options in Gurgaon, India.

Understanding Pelvic and Acetabular Injuries

The pelvis is a ring-like structure connecting the spine to the legs, supporting body weight and protecting major organs and blood vessels. The acetabulum is the socket portion of the hip joint, essential for smooth movement and weight-bearing.

Pelvic and Acetabular Surgery focuses on restoring:

• Pelvic ring stability
• Hip joint alignment
• Proper load transfer during walking
• Long-term joint function

These fractures are considered orthopaedic emergencies because the pelvis contains major blood vessels. Severe pelvic trauma can lead to life-threatening hemorrhage.

Pelvic fractures represent only 3–8% of all fractures, but they account for a disproportionately high trauma mortality risk due to associated bleeding and organ injury.

Acetabular fractures are rarer, with an incidence of approximately 3 cases per 100,000 population per year, yet they require highly specialized surgical expertise.

Why Pelvic and Acetabular Fractures Are So Serious

Pelvic and hip socket fractures are different from other fractures because:

• They involve the weight-bearing hip joint
• Even small misalignment can cause arthritis
• Surgery is technically demanding due to deep anatomy
• Nerves and blood vessels lie very close to fracture sites
• Long-term walking ability depends on accurate reduction

Without proper treatment, patients may develop:

• Post-traumatic hip arthritis
• Chronic pelvic instability
• Limb length discrepancy
• Permanent disability

That is why timely consultation with a pelvic and acetabular surgery specialist in Gurgaon is essential.

Causes & Risk Factors of Pelvic and Acetabular Injuries

Pelvic and acetabular fractures usually occur after high-energy trauma, such as:

Road Traffic Accidents

High-speed collisions are the leading cause. Studies show nearly 60–70% of acetabular fractures occur due to road accidents.

Falls from Height

Common in construction work or accidental falls from stairs, rooftops, or scaffolding.

Sports Injuries

Severe trauma during contact sports, horse riding, or extreme athletics may cause acetabular disruption.

Osteoporosis and Fragility Fractures

In elderly patients, even low-energy falls can cause pelvic fractures due to reduced bone density.

Risk Factors Include:

• Age above 60
• Osteoporosis
• High-risk occupations
• Poor balance or frequent falls
• Previous hip disorders

Symptoms of Pelvic and Acetabular Injuries

Pelvic and acetabular injuries cause immediate and severe symptoms:

• Intense hip or pelvic pain
• Inability to stand or walk
• Swelling and bruising around the pelvis
• Hip deformity or leg rotation
• Numbness or weakness in legs (nerve involvement)
• Signs of shock such as dizziness or low BP in severe trauma

Because pelvic fractures can cause internal bleeding, patients should seek emergency care immediately.

Diagnosis: How Pelvic and Acetabular Fractures Are Confirmed

Accurate diagnosis is crucial for survival and long-term hip function.

• Clinical Trauma Examination is done to assess pelvic stability, hip movement restriction, neurological function and associated injuries.
• Initial pelvic and hip X-rays are done to identify fracture type.
• CT Scan (Gold Standard) provides 3D mapping of acetabular fractures. Surgical planning is almost impossible without CT imaging. Over 90% of displaced acetabular fractures require CT-based classification before surgery.
• MRI is done when soft tissue injuries, ligament tears, or cartilage damage are suspected.

Treatment Options for Pelvic and Acetabular Fractures

Treatment depends on:

• Stability of fracture
• Degree of displacement
• Patient age and bone quality
• Presence of hip joint involvement

Treatment for pelvic fractures and acetabular fractures are done via both non-surgical and surgical approaches.

Non-Surgical Treatment

Stable fractures without displacement may be treated with:

• Bed rest
• Pain control
• Physiotherapy support
• Gradual mobilization

This is suitable only for minor pelvic ring fractures.

Surgical Fixation: When Surgery Becomes Necessary

Surgery is recommended when:

• Hip joint surface is displaced >2 mm
• Pelvis is unstable
• Patient cannot mobilize
• Fracture fragments threaten nerves/vessels

Goals of Surgery

The primary aim of acetabular fracture treatment in India is:

• Anatomical reduction of the joint surface
• Stable fixation with implants
• Prevention of arthritis
• Restoration of walking function

Types of Surgeries Involved in Pelvic and Acetabular Surgery

Pelvic and acetabular fractures are highly complex injuries, and the surgical approach depends on the exact location of the fracture, the stability of the pelvic ring, and whether the hip joint surface is displaced.

Unlike routine fracture fixation, these surgeries require advanced trauma expertise because even a small misalignment in the pelvis or acetabulum can lead to long-term hip arthritis, chronic pain, or walking difficulty.

At a specialized orthopaedic trauma centre, Pelvic and Acetabular Surgery in Gurgaon may involve several different surgical procedures, each designed to restore pelvic stability and hip joint alignment.

1. Open Reduction and Internal Fixation (ORIF) of Acetabular Fractures

One of the most common surgeries performed for displaced acetabular fractures is ORIF (Open Reduction and Internal Fixation).

What it involves:

In this procedure, the surgeon:

• Exposes the fractured hip socket through a carefully planned approach
• Realigns the joint surface anatomically
• Fixes the fracture fragments using plates and screws

When it is needed:

ORIF is recommended when:

• The hip joint surface is displaced more than 2 mm
• The femoral head is not sitting properly in the socket
• The fracture involves the weight-bearing dome of the acetabulum

Why it matters:

Accurate reconstruction reduces the risk of post-traumatic arthritis and helps preserve the natural hip joint.

ORIF remains the gold-standard procedure for most surgically treatable acetabular fractures.

2. Pelvic Ring Fixation Surgery (Stabilization of Pelvic Fractures)

Pelvic ring fractures involve disruption of the pelvic stability, often caused by high-energy trauma.

Surgical goal:

The primary goal is to stabilize the pelvic ring so the patient can safely mobilize and prevent life-threatening complications.

Procedures may include:

• Fixation of pubic symphysis disruption
• Stabilization of sacroiliac joint injuries
• Repair of anterior and posterior pelvic ring fractures

This is commonly performed using plates, screws, or specialized pelvic implants.

Pelvic ring stabilization is especially critical in unstable fractures associated with internal bleeding.

3. Percutaneous Screw Fixation (Minimally Invasive Pelvic Surgery)

Modern orthopaedics increasingly uses minimally invasive techniques for selected pelvic fractures.

What is percutaneous fixation?

Instead of a large incision, the surgeon inserts screws through small skin openings under CT or fluoroscopic guidance.

Benefits include:

• Reduced blood loss
• Smaller scars
• Lower infection risk
• Faster recovery

Common uses:

• Sacroiliac joint disruptions
• Stable posterior pelvic fractures
• Certain minimally displaced acetabular fractures

This approach is considered an advanced option in minimally invasive pelvic fracture treatment in India.

4. External Fixation for Emergency Pelvic Stabilization

In severe trauma cases, pelvic fractures may cause major bleeding and shock. In such emergencies, surgeons may apply an external fixator as a temporary life-saving stabilization.

What it does:

• Holds the pelvis in position
• Reduces pelvic volume and bleeding
• Provides immediate stability until definitive surgery

External fixation is often used in polytrauma patients before internal fixation is performed later.

5. Complex Acetabular Reconstruction Surgery

Some acetabular fractures are highly comminuted (broken into multiple fragments) or involve both columns of the pelvis. In such cases, complex reconstruction is required.

Reconstruction may involve:

• Multi-plate fixation
• Bone grafting in severe defects
• Advanced surgical approaches to restore hip congruity

These surgeries are technically demanding and typically performed by experienced pelvic trauma surgeons like Dr. Ramkinkar Jha in Gurgaon.

6. Surgery for Pelvic Non-Union or Malunion (Delayed Reconstruction)

If pelvic fractures are not treated properly, bones may heal incorrectly.

This may lead to:

• Pelvic deformity
• Chronic instability
• Persistent pain
• Difficulty sitting or walking

In such cases, corrective surgery may involve:

• Osteotomy (re-breaking and realigning the pelvis)
• Revision fixation
• Bone grafting

Delayed pelvic reconstruction is far more complex than early fracture fixation, highlighting the importance of timely expert care.

7. Total Hip Replacement After Severe Acetabular Injury

In elderly patients or cases where the hip socket cartilage is severely damaged, fixation alone may not be enough.

Some patients may require:

Acute Total Hip Arthroplasty (THA)

Hip replacement combined with fracture fixation in selected cases.

Delayed Hip Replacement

If post-traumatic arthritis develops months or years later.

This is more common in:

• Older patients with osteoporosis
• Severe acetabular cartilage destruction
• Failed fracture fixation cases

Hip replacement after acetabular fracture is complex and should be done by experienced orthopaedic surgeons.

8. Combined Pelvic and Acetabular Fixation in Polytrauma

In major trauma, both pelvic ring and acetabulum may be fractured together.

These cases require staged surgery such as:

• Emergency stabilization first
• Definitive fixation once patient is stable
• Multidisciplinary trauma ICU care

Such combined injuries represent the most complex spectrum of pelvic trauma surgery.

Pelvic and Acetabular Surgery Procedure

Pelvic fracture surgery is performed in specialized trauma centres.

Preoperative Planning

Before surgery, evaluation includes:

• CT-based fracture mapping
• Blood transfusion preparedness
• Assessment of associated abdominal or spine injuries
• Medical stabilization

Surgical Procedure

It is performed under general anesthesia, the procedure involves:

1. Precise surgical approach to the pelvis or acetabulum
2. Reduction of fracture fragments
3. Fixation using specialized plates and screws
4. Restoration of hip socket congruity
5. Confirmation with intraoperative imaging

Surgery duration ranges from 2 to 6 hours, depending on complexity.

Minimally Invasive Pelvic Surgery in Gurgaon

Where suitable, minimally invasive fixation reduces:

• Blood loss
• Soft tissue damage
• Infection risk
• Hospital stay duration

Which Surgery is Best for Pelvic and Acetabular Fractures?

The choice of procedure depends on:

• Fracture pattern (simple vs comminuted)
• Displacement severity
• Patient age and bone quality
• Hip joint involvement
• Associated trauma injuries

That is why management must be individualized and performed by an experienced pelvic and acetabular surgery specialist in Gurgaon.

Expert Surgical Care in Gurgaon – Dr. Ramkinkar Jha

Pelvic and acetabular surgery requires advanced training, precision fixation, and structured rehabilitation.

Under the care of Dr. Ramkinkar Jha, patients in Gurgaon receive:

• Evidence-based fracture reconstruction
• Advanced minimally invasive fixation options
• Joint-preserving acetabular surgery
• Comprehensive trauma rehabilitation support

If you are seeking the best pelvic fracture surgery in Gurgaon, early consultation can significantly improve outcomes and long-term mobility.

Recovery & Rehabilitation After Pelvic and Acetabular Surgery

• Patients typically stay in the hospital for 7 to 12 days, depending on the severity of the trauma and the surgery performed.
• Modern multimodal pain management protocols are used to ensure comfort and support early recovery.
• Physiotherapy is usually started within 48 to 72 hours to prevent joint stiffness and maintain mobility.
• Patients are advised to avoid putting any weight on the affected leg during the first six weeks.
• Partial weight bearing is gradually introduced from the sixth to the tenth week under the guidance of the surgeon.
• Full weight bearing is generally allowed after 12 weeks, depending on fracture healing and stability.
• Most patients regain functional mobility and can resume daily activities within three to six months.
• High-energy or complex fractures may require up to one year for complete recovery and full functional restoration.
• Rehabilitation focuses on gradual strengthening exercises to rebuild muscle support around the hip and pelvis.
• Gait training is provided to help patients walk safely and restore proper balance and coordination.
• Posture and pelvic alignment are carefully monitored throughout recovery to prevent long-term complications.
• Regular follow-up visits with imaging and physiotherapy ensure proper healing and prevent setbacks.

Results and Success Rate of Pelvic and Acetabular Surgery

When performed by experienced trauma surgeons, outcomes are excellent.

Expected Results:

• Restored pelvic stability
• Improved hip motion
• Significant pain relief
• Prevention of deformity

Success Rates

Clinical studies report 80–90% good-to-excellent functional outcomes when anatomical reduction is achieved.

Early surgery (within 7–10 days) is associated with better long-term hip survival.

Risks and Complications of Pelvic Surgery

Like any major trauma surgery, risks may include:

• Infection
• Blood clots (DVT)
• Nerve injury (sciatic nerve)
• Hip stiffness
• Post-traumatic arthritis
• Need for future hip replacement in severe cartilage damage

However, with expert surgical technique and rehabilitation, complication rates are significantly reduced.

Cost of Pelvic and Acetabular Surgery in Gurgaon, India

The average cost of pelvic and acetabular surgery in Gurgaon typically ranges between ₹2.5 lakhs and ₹7 lakhs, depending on the complexity of the fracture, type of surgical procedure, implants used, and duration of hospital stay.

For simple pelvic ring fixation or minimally invasive screw fixation, costs tend to be on the lower end of the range, while complex open reduction and internal fixation (ORIF) of acetabular fractures, combined pelvic and hip reconstruction, or surgeries requiring bone grafts and multiple implants are usually toward the higher end.

Generic factors that influence the overall cost include the severity of injury, choice of implants and hardware, length of ICU or ward stay, surgeon and theatre charges, diagnostic imaging, and the need for postoperative rehabilitation support.

Why Choose Dr. Ramkinkar Jha for Pelvic and Acetabular Surgery in Gurgaon

Dr. Ramkinkar Jha is a trusted orthopaedic trauma specialist with extensive experience in managing complex pelvic and acetabular fractures. His expertise includes:

• Precision complex pelvic fracture fixation for restoring stability and alignment
• Advanced acetabular reconstruction to preserve hip function and prevent arthritis
• Evidence-based trauma care tailored to each patient’s unique condition
• Personalized rehabilitation planning to ensure optimal recovery and mobility

Key Highlights:

• Leading orthopaedic trauma surgeon based in Sector 51, Gurgaon
• Specialized in advanced pelvic and acetabular surgical techniques
• Focused on long-term joint preservation and functional mobility
• Comprehensive post-surgical recovery support for safe and efficient rehabilitation

Patients seeking the best pelvic and acetabular surgery doctor in Gurgaon can trust Dr. Jha for precise, safe, and compassionate care from surgery through recovery.

International Patients – Pelvic Fracture Treatment in India

India is recognized globally for high-quality trauma and orthopaedic care, offering advanced facilities at a fraction of the cost in Western countries. Dr. Ramkinkar Jha provides dedicated support for international patients, ensuring a seamless treatment experience.

Why Choose India for Pelvic Fracture Surgery:

• Access to state-of-the-art orthopaedic infrastructure
• Highly experienced trauma surgeons with specialized expertise
• Affordable treatment costs compared to other countries
• Coordinated care tailored for international patients

Support for International Patients Includes:

• Assistance with medical visas
• Guidance for travel and accommodation arrangements
• Efficient surgery scheduling and planning
• Telemedicine follow-up after discharge to monitor recovery

Patients from across the world choose India for advanced pelvic and acetabular fracture care due to clinical excellence, affordability, and personalized attention.

Book an Appointment for Pelvic and Acetabular Surgery in Gurgaon

Pelvic and acetabular fractures require prompt, expert surgical care to restore mobility and prevent long-term complications. Early intervention significantly improves outcomes and reduces the risk of chronic pain or deformity.

Consult Dr. Ramkinkar Jha, a leading specialist in Pelvic and Acetabular Surgery in Sector 51, Gurgaon, for:

• Detailed evaluation of your injury
• Personalized surgical plan and rehabilitation strategy
• Guidance on recovery timeline and expected outcomes
• Transparent cost estimates and treatment options

Schedule your consultation today to take the first step toward safe, effective, and long-term recovery from pelvic or acetabular injuries.