Superior pubic ramus fixation with titanium elastic nails-surgical technique

Superior pubic rami fractures are commonly associated with a posterior pelvic ring disruption. It has been shown that fixing both the anterior pelvic arch and the posterior ring increases stability and enhances clinical results. Several techniques for fixing the superior pubic rami exist, and multiple studies showed that minimally invasive methods decrease wound-related complications, with the advantage of preserving soft tissues. We describe a surgical procedure to treat simple pubic rami fractures associated with posterior pelvic ring disruptions by placing an intramedullary elastic titanium nail (TEN). We propose this technique as an alternative fixation method for superior pubic rami fractures.