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Emergent management of the suspected pelvic fracture: challenges in the obese patient
  1. Sarah K Stewart1 and
  2. M Khan2
  1. 1 Department of Orthopaedics and Trauma, Royal London Hospital, London, UK
  2. 2 Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK
  1. Correspondence to M Khan, Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham B15 2GW, UK; mansoorkhan{at}


Pelvic fractures, although infrequent, are a significant cause of morbidity and mortality in the trauma population. Currently, the mainstay of emergent management of a suspected pelvic fracture is placement of a pelvic binder, and their use in the prehospital setting is recommended for any individual involved in high-energy trauma. Obesity in the trauma patient has been shown to be an independent risk factor of morbidity and mortality, and the incidence of pelvic and lower extremity fractures has consistently demonstrated to be higher in the obese patient compared with an individual with a normal body habitus. This article aims to highlight the challenges associated with pelvic fracture in the obese population.

  • obesity
  • pelvic fracture
  • trauma

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  • Contributors SKS: literature search, writing. MAK: concept development, critical review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.