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Leading provider of hip fracture reconstruction in Kanakapura Road,Bangalore | Manipal Hospitals

Complex Hip and Pelvic Fracture Reconstruction

Leading provider of hip fracture reconstruction in Kanakapura Road,Bangalore

Injuries to the hip or pelvis are rarely straightforward. They can affect balance, movement, and basic independence.  At Manipal Hospitals, a leading provider of hip fracture reconstruction on Kanakapura Road in Bangalore, we carefully manage complex cases. Surgical options are typically considered for fractures that are unstable, have been displaced, or involve multiple pieces. This is especially true when non-surgical methods, such as bracing, are unlikely to be effective or may delay healing. Surgeons reconstruct using plates, screws, and grafts to rebuild the joint's architecture.

How It Works

Reconstructing complex hip and pelvic fractures starts with careful planning. Surgeons review scans to map the damage, such as fractures of the acetabulum or femoral head, and restore the pelvis's weight-bearing frame so that normal weight-bearing and movement can be restored.

During surgery, under general anaesthesia, they make incisions to access the bones. The fractured pieces are carefully cleaned and repositioned, sometimes using temporary guides for accuracy. Plates are shaped to fit the pelvis, held in place by locking screws designed to hold securely in weakened bone. When dealing with hips, reconstruction plates or cages bridge the spaces; bone grafts, either from the patient or a donor, are used to fill the gaps, encouraging the body's own healing processes.

The procedure is complex and may take between two and four hours, with imaging used during surgery to check alignment. If nerves or blood vessels are affected, they are carefully protected or repaired. Drains are used to control fluid buildup, and antibiotics ward off infection. Once the fixation is done, the structure resembles its natural state, ensuring forces are spread uniformly.

Healing begins gradually, with new bone forming over time. Weight restrictions ease gradually. In trickier spots, like acetabular fractures, total hip replacements might integrate. In most cases, healing typically takes several weeks to months.

Benefits

This reconstruction offers real gains for tough fractures:

  • Quickly stabilises the pelvis and hip for safer mobility.

  • Reduces chronic pain and deformity risks.

  • Enables faster rehab with custom plans.

  • Helps improve the overall quality of life.

  • Reduces the risk of future fractures.

What to Expect

From your arrival in the emergency department through to your return to mobility, our pelvic trauma team provides coordinated, stage‑appropriate care for these serious injuries.

  • Emergency assessment and stabilisation - Our trauma team performs a thorough evaluation, including CT imaging to precisely map the fracture pattern. If you are medically unstable, an external fixator may be placed initially or involve interventional radiology to control bleeding before definitive surgery.

  • Multidisciplinary planning - Your case is reviewed by orthopaedic traumatologists, anaesthetists, and intensivists. The team discusses the surgical approach, the need for staged procedures, and the timing of definitive reconstruction to ensure you are optimised.

  • Pre‑operative preparation - We use CT‑based 3D planning and, for complex cases, create 3D‑printed models to simulate the reconstruction. You will receive clear information about the procedure, the expected hospital stay, and the recovery pathway.

  • The surgical procedure - Definitive reconstruction is performed once you are stable, typically within a few days. The surgery may last several hours and involves open reduction and internal fixation using specialised plates and screws, often through approaches that protect vital nerves and vessels.

  • Intensive care and early monitoring - After surgery, you will be cared for in the intensive care unit or a specialised orthopaedic ward. We monitor your haemodynamic status, pain levels, and neurological function closely. You will have a urinary catheter and wound drains initially.

  • Mobilisation and rehabilitation - Physiotherapy begins with bed exercises and gentle movements. Weight-bearing is usually restricted on the affected side for six to twelve weeks, depending on the injury. Our therapists teach you to use a walker or crutches safely while protecting the reconstruction.

  • Follow‑up and gradual return to activity - You will have regular follow‑up appointments with imaging to monitor fracture healing. We guide you through the gradual transition from non‑weight‑bearing to partial weight‑bearing.

Why Manipal Hospitals

At Manipal Hospital Kanakapura Road, we have established a specialised pelvic and acetabular fracture service that combines advanced surgical approaches with a team‑based approach to trauma care. Our surgeons have extensive experience in the complex exposures, such as the ilioinguinal, Kocher‑Langenbeck, and combined approaches, required to reconstruct these injuries with anatomical precision. We are often regarded as the best hospital for complex hip and pelvic fracture reconstruction due to our structured and multidisciplinary care:

  • Our group includes trained orthopaedic traumatologists, general surgeons, urologists, and interventional radiologists 

  • Experienced surgeons use 3D planning for precision.

  • Comprehensive teams cover trauma to rehab seamlessly.

  • Quick stabilisation means less bed time for patients.

  • Specialised recovery after complex pelvic reconstruction in Kanakapura Road protocols helps support earlier mobility.

  • Advanced hardware, like custom plates, ensures durability.

  • Low infection rates from sterile protocols.

  • Patient support includes nutrition and psych counselling.

  • High success: over 90% regain function without issues.

Speciality - Orthopaedics

Complex hip and pelvic injuries require both precision and coordination, and at Manipal Hospitals, Kanakapura Road, our Orthopaedics department is equipped to manage these challenging cases with a focused, structured approach. We specialise in reconstructing fractures of the hip, acetabulum, and femur caused by trauma or bone fragility, using techniques such as plates, screws, and grafts with an emphasis on preserving joint function wherever possible. Each case is guided by detailed imaging and clinical assessment to ensure the treatment plan is accurate and appropriate. For elderly patients, joint replacement is integrated seamlessly when required to support mobility and stability. 

Services Offered

Our complex hip and pelvic fracture reconstruction service provides comprehensive management for acetabular fractures, pelvic ring disruptions, and associated hip injuries. We offer both urgent damage control interventions (external fixation, pelvic packing, angiography) and definitive open reconstruction using the latest plating and screw fixation systems. The service includes navigation‑assisted percutaneous techniques, posterior approaches for acetabular fractures, and anterior approaches for pelvic ring injuries. Post‑operative care is coordinated with physiotherapists specialising in pelvic trauma rehabilitation.

Facilities and Services

Our facilities for pelvic and acetabular reconstruction are equipped to handle the most complex trauma scenarios:

  • A dedicated trauma operating theatre with laminar flow, intra‑operative 3D imaging (O‑arm), and navigation systems for percutaneous screw placement

  • Pre‑operative CT with 3D reconstruction and, for selected cases, 3D‑printed anatomical models to plan complex reductions and implant positioning

  • A multidisciplinary trauma team, including orthopaedic traumatologists, interventional radiologists, general surgeons, and intensivists, is available 24/7

  • Intra‑operative cell salvage and massive transfusion protocols coordinated with our blood bank

  • A dedicated orthopaedic intensive care unit for post‑operative monitoring of haemodynamically unstable patients

  • Rehabilitation services with therapists experienced in pelvic trauma, focusing on protected weight‑bearing and gradual return to mobility.

Choose the best leading provider of hip fracture reconstruction at Manipal Hospitals Kanakapura Road, Bangalore, for advanced fracture repair, precise reconstruction, and personalised recovery care.

FAQ's

These fractures are often caused by high-impact injuries such as road accidents or falls from height, or by weakened bones due to osteoporosis. Pelvis rings crack in impacts; hips shatter nearby. Scans reveal the extent early.

Surgery is usually performed within 24 to 48 hours for unstable fractures, once the patient is medically stable, to prevent complications like fat emboli. Delays risk poor healing.

Pain is managed with medication and supportive care. Most find it tolerable by day two and ease into physiotherapy.

Protected weight for 6-12 weeks, full activity by 6 months. Recovery time varies based on the type of fracture and your fitness level.

For stable, minor fractures, bracing works. Complex ones need surgery for alignment.

Complication rates hover at 10%, lower here with protocols. Blood clots are prevented routinely.

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