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Fracture reduction

Reduction of the fracture can be achieved for both anterior and posterior columns simultaneously under direct vision.

Begin the reduction by cleaning all clot and bone fragments from the fracture plane.

A Schanz screw can be inserted into the ischium to use as a joystick for manipulation of the ischiopubic fragment posteriorly.

A hook inserted through the lesser or greater sciatic notch helps to pull the posterior end of the distal fragment laterally.