Final radiographic assessment
After completion of fixation, 3 views (AP, obturator oblique, iliac oblique view) are obtained to confirm anatomical reduction and fixation.
The AP radiograph demonstrates an anatomic reduction and restoration of the iliopectineal and ilioischial lines, the anterior rim, the posterior rim, and the radiological roof.
In this case, a 4.5 mm anterior column screw has been placed. Two interfragmentary posterior column lag screws have been placed (distal to proximal) near the sciatic notch. Two additional interfragmentary screws have been placed more distally on the retroacetabular surface. A six-hole reconstructive plate has been contoured to the retroacetabular surface.