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Table-Skeletal Fixation as an Adjunct to Pelvic Ring Reduction

Matta, Joel M MD*; Yerasimides, Jonathan G MD

Journal of Orthopaedic Trauma: October 2007 - Volume 21 - Issue 9 - p 647-656
doi: 10.1097/BOT.0b013e31809810e5
Technical Trick

The reduction of displaced pelvic ring injuries remains a technical challenge, especially when treatment is delayed. A pelvic frame (Orthopaedic Systems Inc, Union City, California) provides a means of external skeletal fixation, rigidly stabilizing the intact hemipelvis to the operating room table. The fractured and displaced fragments can then be manipulated around the securely fixed uninjured hemipelvis, allowing the application of more directions and magnitudes of force for reduction maneuvers than allowed by the traditional means of pelvic reduction. The surgical technique and 1 case each of an acute fracture and pelvic nonunion/malunion are presented.

From the *Hip and Pelvis Institute, St. John's Health Center, Santa Monica, CA; and †Department of Orthopaedics, University of Louisville Hospital, Louisville, KY.

Accepted for publication April 25, 2007.

Dr. Joel M. Matta certifies that he receives royalties from OSI and is a consultant for Stryker Trauma. Dr. Yerasimides certifies that he has no commercial associations.

Each author certifies that the institution has waived approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

Reprints: Dr. Joel M. Matta, MD, Hip and Pelvis Institute at St. John's Health Center, 2001 Santa Monica Boulevard, Suite 1090, Santa Monica, CA 90404 310 582 7475 (e-mail:

© 2007 Lippincott Williams & Wilkins, Inc.