Blunt dissection is performed down to the bony crest.
K-wire is placed along medial portion of the iliac wing to ensure location of pin in the thick supraacetabular column of bone. This construct permitted access for potential pulmonary, cardiovascular, or abdominal intervention. In the absence of any gross sign of external, thoracic, abdominal, or extremity bleeding, the site was identified as the extraperitoneal space, directly related to the pelvic disruption. What if . . . Loosen the external fixator and re-reduce the pelvis by direct posterior reduction.