Final answer:
Pelvic fractures in the elderly require careful management which includes fracture stabilization and measures to prevent complications associated with immobility. Management may also involve treatment for underlying causes like osteoporosis. Preventative strategies to avoid falls are also important.
Step-by-step explanation:
Managing a Pelvic Fracture
Managing a pelvic fracture typically involves both medical intervention and lifestyle modifications to minimize complications and promote healing. Immediate management often includes stabilizing the fracture, which might require a procedure called a closed reduction, or in more severe cases, an open reduction with surgery. For elderly individuals, who are often at greater risk due to osteoporosis, a hip fracture can be particularly dangerous. The immobility resulting from the fracture can lead to severe complications such as deep vein thrombosis, pulmonary embolism, and pneumonia.
To reduce these risks, measures such as enhancing environmental safety by removing tripping hazards can be crucial. Furthermore, current treatments for osteoporosis, which include bisphosphonates, calcitonin, and estrogen (for females), can help in managing the underlying causes of fractures. Additionally, the immobilization associated with hip fractures may require the use of anticoagulants to prevent blood clots, along with strategies to prevent pressure sores and ensure adequate air exchange to reduce the risk of pneumonia.