Pelvic fractures are associated with significant morbidity and mortality. Despite advances in emergency, radiologic, surgical, and ICU care that have improved survival during the past decade, the morbidity and the mortality remain significantly high [1]. The incidence of pelvic fractures in the United States is estimated to be more than 100,000 per year [2]. Motor vehicle collisions are the most common cause of pelvic fractures [3]. Nine percent of blunt abdominal trauma patients have pelvic fractures, with a mortality rate approaching 50% when associated with hemodynamic instability [4]. This article focuses on the recent developments in the initial management of pelvic fractures, including the use of external pelvic binders, radiographic imaging, interventional radiology, and operative management including the newer use of the technique of preperitoneal packing.
