TECHNIQUES FOR REDUCTION AND POSTERIOR FIXATION THROUGH THE ANTERIOR APPROACH

Pelvic fractures, especially those of a Malgaigne type, frequently occ ur in patients who are polytraumatized, Sacroiliac disruption reflects a massive, disruptive energy force with concurrent soft tissue injury , Fixation through an anterior approach facilitates the accurate and s table fixation and avoids many soft tissue wound problems associated w ith open anterior approaches, The absolute indication for the approach is a posterior disruption of the sacroiliac joint with or without an iliac wing fracture that is unreducible by closed reduction techniques .