Fixation of the deep anterior column relies on both intramedullary screw fixation and reconstruction plate application. One or two screws applied along the iliac corridor are the mainstays of this fixation. Screws placed from the AIIS to the posterior ilium are required. These screws typically are greater than 150 mm in length and commonly can be 4.5 mm screws. They can be placed from anteriorly to posteriorly or vice versa.