Intrapelvic internal ! xation of pelvic fractures

Internal fi xation of the posterior ring in unstable pelvic fractures was introduced in the late 1980’s (1–3). On the other hand, indications of internal fi xation of the anterior ring have been variable and more conservative recommendations have been given (4–6). However, biomechanical studies have shown that best stability can be achieved by internal fi xation of both the posterior and the anterior part of the pelvic ring injuries (7). ! e fi rst report of internal fi xation of the entire ring was published in 1993 (8). Later on, open reduction and stabilization of the most unstable C type fractures have been more widely accepted fi rst in the recent years. On the other hand, the treatment of partially stable open book fractures as well as lateral compression type fractures seem to be controversial in most centres. Conservative bed rest and / or external fi xation are still accepted as primary choices in many units. Our policy has been to restore the anatomy operatively in both B and C type displaced pelvic fractures injuries at our department. Patients and methods