Vol. 11, Issue 2 (2025)

Introduction: The aim of this study is to evaluate the clinical outcomes of pubic symphyseal fracture when managed conservatively using pelvic binder along with bed rest and when managed with open reduction internal fixation using pubic symphyseal plating.

Materials and Methods: We have performed a retrospective study and have taken 40 patients divided into 2 groups of 20 each patient and have followed then through patients with associated acetabulum fractures, spinal fractures or visceral injures were excluded from this study.

Results: Almost all the patients who presented with pelvic diastasis were having one or other associated fracture involving pelvic ring or surrounding structures or injury, isolated pelvic diastasis was comparatively infrequent and they were relatively stable which were managed conservatively by enlarge. When there was pelvic instability and patient was fit for operative management ORIF was preferred choice mostly in younger patients.

In case of osteoporotic bones, associated comorbidities, visceral injuries conservative management can be preferred over operative management in stable and partially stable fractures.

ORIF gives early symptomatic relief to patient as compared to conservative management.

Conclusion: Weather to manage patient conservatively or operatively depends on variables such as patients profile, age, type of fracture, hemodynamic stability, associated injuries etc.

Pelvic ring stability plays most crucial role in determination of patient management, in case stable pelvic ring fractures given everything else is adequate can be managed conservatively but in case of pelvic ring instability early intervention is needed. Even after ORIF- pubic symphyseal plating is done intra operative complication and post operative care is something a surgeon should always watch for.