Woman, 19 years old. She fell from the fifth floor (about 14 meters)

She had numbness in the perineum and pain in the lumbar region irradiating to the lower limbs. There were movements in the feet.

On admittance the supraacetabular Ex-Fix was applied to pelvis.

On the 4th day after the injury, ORIF the pubic bone osteosynthesis with the retrograde blocking nail and remove ExFix were performed
•Approach – «truncated» pararectus approach
•Intra/op blood loss – 100 ml
•duration of operation - 90 min

Thus, we were able to turn the patient over on the abdomen and perform iliac-lumbar fixation with a transpedicular system.

Mobilization: The full body weight load on both legs using crutches is allowed right away after the surgery.