Progression to Rommens type IIIa fragility fracture of the pelvis managed by delayed open reduction and...

Efficient management of fragility fractures of the pelvis (FFPs) is established during the acute phase of injury. However, a small number of FFPs exhibit fracture progression with increased instability over time. Fracture progression is typically seen in sacral fractures and rare in iliac fractures. Herein, we present the case of a 72-year-old woman with Rommens type IIIa FFP, following an isolated iliac fracture. It was successfully treated four months after the initial injury with retrograde suprapubic screw fixation via the anterior intra-pelvic approach and percutaneous lateral compression type-2 screw fixation using an interdigitating technique.