If non surgical management is preferred it may require six weeks to 3 months for recovery. Surgical management The surgical management requires high degree of training and well equipped centre. It should be carried out by experienced surgical team to get best results. The principles laid down for management are; Anatomic reduction of the fractured fragments Stable fixation Congruent joint Early mobilization Delayed weight bearing Innominate bone is a flat bone with many curves. In most part the bone is thick enough and has broad surfaces that are amenable to primary fixation using lag screw(s) and to neutralize forces across the bone one needs to add plate(s) on the surface of the fractured fragments for it to heal without deformity. Before surgery, patient needs tests to check fitness for surgery Anaesthesia : the surgery may be performed either under regional anaesthesia or general anaesthesia Surgical approaches. Following are the common approaches; Kocher Langenbeck approach for posterior injuries Ili inguinal, Ilio femoral of modified stoppa's approach for anterior or combined injuries Implants : normally lag screws and reconstruction plates are preferred implants Post operative management: would involve initial period or bed rest, followed by mobilisation by trained therapist Total time to recover may be up to 3 months Elderly patients have worse outcomes than other populations. Studies show that over 20 percent will require subsequent total hip arthroplasty. Gallery Elementary fractures Associated fractures References External links Bone fractures