The goal of surgical treatment of pelvic ring disruptions is to restore normal alignment. Direct manipulation of fracture fragments makes reduction easier. However, open reduction and internal fixation of the posterior pelvic ring carry a fairly high wound complication rate. Percutaneous methods of reduction and stabilization carry a far lower wound complication rate, but achieving an adequate re-alignment of the pelvic ring with minimally invasive techniques is difficult.

Previous authors have described reduction techniques including manual traction and manipulation, the use of anterior external fixators, and skeletal traction to restore the alignment of the pelvic ring. Pelvic reduction is an exercise in the application of force to correct fracture deformity. Fracture displacement is almost always multiplanar. Thus, it seems clear that what is needed is a mechanism that allows the surgeon to control and manipulate multiple fracture fragments in multiple planes.

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