Techniques for Reduction and Posterior Fixation Through the Anterior Approach

Pelvic fractures, especially those of a Malgaigne type, frequently occur in patients who are polytraumatized. Sacroiliac disruption reflects a massive, disruptive energy force with concurrent soft tissue injury. Fixation through an anterior approach facilitates the accurate and stable fixation and avoids many soft tissue wound problems associated with open anterior approaches. The absolute indication for the approach is a posterior disruption of the sacroiliac joint with or without an iliac wing fracture that is unreducible by closed reduction techniques.