The pelvic C-clamp traditionally is reserved for the temporizing stabilization of posterior ring injuries and reportedly has
assisted in closed reduction of sacroiliac diastases, for patients who are in the supine position. We report a patient with
a severely displaced Zone II sacral fracture and associated acetabular fracture who initially underwent fixation of the acetabulum
in the prone position. By using the pelvic C-clamp as a tool for successfully reducing the sacrum, definitive closed fixation
of the pelvic wing subsequently was performed without having to reposition the patient. In this case report, we review the
literature on this device and for alternative reduction maneuvers for disrupted sacral injuries. The C-clamp may be a useful
adjunct in select cases to facilitate closed reduction of sacral or sacroiliac joint disruptions, as may particularly apply
in cases of severe displacement or when a reduction is hampered by obesity.
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patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved or waived approval for the reporting of this case, that all
investigations were conducted in conformity with ethical principles of research, and that informed consent for participation
in the study was obtained.