A 34 year old woman involved in road traffic accident with severe anterior and posterior pelvic fractures with associated soft tissue injury was referred from Wa Regional Hospital 18 hours after the accident to Tania Specialist Hospital in Tamale. Emergency resuscitative measures such as catheterization and management of pain with analgesics were initiated. Computed topography (CT scan) or Magnetic resonance imaging has been recommended as the appropriate tools for risk assessment in such cases however none of this was available at the time of the accident. The only assessment tool available was the C-arm machine which was used to X-ray the pelvis in the following plane; anterio -posterior pelvic -inlet and pelvic -outlet. Early internal reduction and stabilization of pelvis was immediately carried out using the procedure of open reduction and internal fixation (ORIF). Approximately 2 weeks after the operation, radiographs showed signs of healing and the patient was discharged on partial body weight bearing. Upon second review 12 weeks post operatively, complete recovery was accomplished. (2013) 2(3) Journal of Medical and Biomedical Sciences INTRODUCTIONPelvic fractures are severe injuries associated with varied morbidities. Mortality rates range from 10% to 50% depending on the severity of pelvic fracture, bleeding and the presence of associated injuries to the brain, thorax and abdomen (Tile, 1988;Dalal et al., 1989;Gonzalez et al., 2002).
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