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5Iliac crest: reduction and fixation

Fixation of the intercalary iliac crest fragments is accomplished with interfragmentary 3.5 mm lag screws, 3.5 mm low profile pelvic reconstruction plates, or with a combination of these implants.

The area on the pelvis for fixation of the anterior column needs to be considered. Room for implants securing the anterior column to the newly reconstructed ilium needs to be prioritized. When choosing fixation for the intercalary fragments of the iliac crest, be cautious not to use all available corridor space.
Occasionally, short reconstruction plates or screws may require removal or replacement with longer implants to accommodate the anterior column fixation.