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9Posterior wall: reduction and fixation

In some cases, the posterior wall fragments with supraacetabular extension can be reduced by limited external iliac exposure. A small window is developed along the anterior external ilium, by elevating the tensor fascia lata.

An elevator, ball spike pusher or clamp can be applied to reduce the posterior wall fracture. This is done under fluoroscopic guidance utilizing the obturator oblique projection as shown.