Management of Pelvic and Acetabular Fractures in the Obese Patient

Acetabular and pelvic ring injuries in the obese patient are difficult to treat. Obese patients require great attention to detail during the trauma evaluation to prevent a myriad of medical and anesthetic complications in the perioperative period. Radiographic evaluation of these patients is often compromised by modalities available and loss of resolution with plain film imaging. Patient positioning needs to be meticulous to ensure stability on the bed while allowing access to the operative site, preventing pressure necrosis, and minimizing ventilation pressure. Complications after surgical treatment are relatively common and are often due to infection and loss of fixation. Careful technique can mitigate but not prevent these complications.