About this information
NICE guidelines provide advice on the care and support that should be offered to people who use health and care services.
This information is for people who have complex fractures, their families and carers. Complex fractures are complicated breaks in bones which usually need care by a specialist team. They include open fractures (which are fractures with wound complications), pelvic fractures (breaks in the strong bony ring connecting the base of the spine to the hips) and severe ankle fractures.
The NICE guideline offers advice about how open fractures, pelvic fractures and severe ankle fractures should be managed. It does not cover every type of complex fracture in detail. Also it does not cover non‑complex fractures, skull fractures, hip fractures and spinal injuries. For information about advice we have produced in these areas, see other NICE guidance.