Comorbid: severe knee osteoarthrosis.
Lateral decubitus position. We've reached the joint through Kocher-Langenbeck approach without trochanter osteotomy. Three plates. Irrigate the entire wound to decrease the risk of periarticular ossification. Insert the suction drain.
Supine position. Next fixation entire sacrum (Denis I & II) by cannulated screw via S1.
Fixed left anterior column acetabulum and right pubic bone (Nakatani I) by locking nails via the three 5 mm stabs. Entire operation's time was 270 min. Blood loss was 300 ml. Cell-Saver was not applied.