Fixation of Anterior Pelvic Ring Injuries

Robert D. Wojahn, Michael J. Gardner

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Treatment of anterior pelvic ring injuries involves both acute stabilization during the initial resuscitation and definitive fixation. Definitive management has evolved substantially over the past 40 years with improved patient mobilization and long-term outcomes. Although its use has recently declined, external fixation remains a favorable option in certain situations. Symphyseal plating is the preferred technique for stabilization of symphyseal diastasis because of superior stability and low morbidity. Ramus screws can be effective for simple ramus fractures but require a careful technique because of the proximity of neurovascular structures. The subcutaneous internal fixator provides a good option for obese patients in whom external fixation would be poorly tolerated. Regardless of fixation strategy, posterior ring reduction and stabilization is crucial.

Original languageEnglish (US)
Pages (from-to)667-676
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number18
StatePublished - Sep 15 2019

Bibliographical note

Publisher Copyright:
© American Academy of Orthopaedic Surgeons.


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