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5Anterior column: fixation

Components of fixation

Depending on the fracture configuration, a combination of the following fixation methods may be used:

  • Small fragment lag screws stabilizing the anterior column to the reconstructed ilium
  • A contoured pelvic brim buttress plate. This plate can be contoured to extend across the low anterior column to the pubis, as required by the specific fracture. Of note, fixation of the posterior column commonly occurs through the pelvic brim buttress plate as illustrated.