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5Iliac crest: reduction and fixation

Very commonly the iliac crest involvement is complex and requires reduction and fixation of accessory fragments (3).

Apply a pointed reduction forceps onto the iliac crest as a reduction aid and for temporarily fixation.

Alternatively, apply a Farabeuf or Jungbluth clamp over screws placed into the crest on each side of the fracture.

Care must be taken to avoid wedge opening of the fracture line on the internal aspect of the crest.