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6Anterior column: reduction and fixation

Depending on the fracture obliquity, an asymmetric clamp may be utilized, with the internal point applied within the pelvis and the external point applied on the outer surface of the anterior column. This clamp greatly facilitates the derotation of the anterior column when there is sufficient obliquity to the fracture line.

The internal point is applied through the interspinous notch with a small additional exposure of the internal surface of the ilium.

An additional clamp (Jungbluth, pointed reduction forceps) or Schanz screw in the anterior column may be required to complete this reduction.