To determine if surgical fixation of geriatric pelvic ring fractures improves objective gait metrics compared to non-operative management, and to correlate gait parameters with clinical outcomes including hospital quality measures.

This is a prospective, single-center cohort study. The study is non-randomized and non-blinded. Patients will be assigned to operative or non-operative treatment groups based on standard clinical decision-making by the treating orthopedic surgeon, not by randomization. The study utilizes the Loadsol Gait Analysis device to collect objective gait metrics at multiple time points. This is an observational study design where treatment allocation follows standard of care protocols.

Inclusion Criteria:

Closed, low energy pelvic ring injury Inability to discharge home from emergency room due to pain and limited weight bearing No neurovascular compromise No severe medical comorbidities preventing treatment.

Exclusion Criteria:

Dementia Immobility (wheelchair use or greater) prior to pelvic ring injury Concomitant fractures of upper or lower extremities Inability to provide informed consent.

Admitted to hospital with closed, low energy pelvic ring injury.