ABSTRACT
Surgery Report The patient was placed in the left lateral recumbent position rather than through the ilium through a lateral incision was performed. The perimysium of the gluteal muscles was incised giving access to the ventral lateral border of the ilium. The gluteals were elevated and retracted with an Army/Navy retractor. The fracture line was debrided and the caudal fracture fragment was grasped with Kern bone-holding forceps. The fracture was reduced, excepting minor medialdisplacement of the caudal pelvic fragment. A 5-hole, 2.7 mm SOP plate was contoured to the dorsal-lateral aspect of the ilium and over the acetabulum. The plate was then over contoured to duplicate the shape of the contra lateral, intact ilium. The plate was applied to the caudal bone segment first with two 2.7 mm screws. The cranial aspect of the plate was then ‘pushed’ flush to the ilial wing, thereby lateralizing the caudal hemipelvis. Three 2.7 mm screws were placed in the ilial wing. A second 2.7 mm 4-hole SOP plate was contoured and twisted to lie ventral to the first plate. Three screws were placed for fixation in the 4-hole plate; two screws in the proximal bone segment and one screw in the distal bone segment. Screw hole 3 of this plate overlays the fracture line and was left empty. Closure was routine.
