Fig. 8
From: Instability of the posterior pelvic ring: introduction of innovative implants
Pictures showing the operative case of 72-year-old female patient with a U-shaped sacrum fracture after a fall from standing hight. a Patient in prone position with the Kirschner wire for the ilium screw in position, x-rays showing correct placement. b Preparation of the entry point of the ilium screw with size determination in lateral x-ray projection. c Insertion of the ilium screw and control of the correct insertion depth with the image intensifier. d Attachment of the guiding device and placement of the Kirschner wire for the iliosacral screw under x-ray control. e Checking final Kirschner wire position in two planes using the image intensifier. f X-ray control after iliosacral screw insertion and adaption of the polyaxial head onto the ilium screw for lumbo-pelvic stabilization. g Postoperative x-ray control after bilateral triangular fixation and lumbo-pelvic stabilization