Pelvic Reconstruction Plate Instruments Set – ORIF of Pelvic Ring and Acetabular Fractures

The Pelvic Reconstruction Plate Instruments Set from Peak Surgicals (SKU: PS-OP-010587) is a comprehensive pelvic fracture fixation instrumentation set in stainless steel, designed for the complete intraoperative workflow of pelvic ring fracture reduction and reconstruction plate application — covering fracture reduction with a full range of Pelvic Reduction Forceps in five straight lengths (200mm, 250mm, 280mm, 330mm, 400mm), two Angled Pelvic Reduction Forceps (250mm and 280mm), Medium and Small Pelvic Reduction Forceps, a Pelvic Thermo-Spiked Asymmetrical Reduction Forcep with Disc, and Pelvic Reduction Forceps with Three Ball-Tipped Tips; plate contouring with a Plate Bender, Bending Template, and two Bending Irons; pelvic cortex preparation with a Drill Guide 2.5mm for Flexible Drill Bit, Flexible Drill Bit Ø2.5mm, Drill Bits Ø2.5mm and Ø3.0mm, Tap Cortex 3.5mm, Tap Cancellous 4mm, and Drill & Tap Guides Ø2.5/3.5mm and Ø3.2/4.0mm; screw insertion with two Hexagonal Screwdrivers 2.5mm tip; revision and fragment manipulation with Broken Screw Removal Forceps, Straight Ball Spike 300mm, Bone Hook, and Bone Hook with T-Handle; depth measurement with a Depth Gauge 0–60mm; exposure with a Retractor 30mm width; instrument maintenance with Clean Pins ×2 and Clean Brushes ×2; and an Empty Container. It is used by orthopaedic trauma surgeons and pelvic surgeons in hospital operating theatres performing open reduction and internal fixation (ORIF) of pelvic ring fractures, acetabular fractures, and iliac wing fractures using pelvic reconstruction plates.

Pelvic Ring and Acetabular Fractures: ORIF with Reconstruction Plates

Pelvic ring fractures and acetabular fractures are among the most technically demanding injuries in orthopaedic trauma surgery — the complex three-dimensional anatomy of the pelvis, the proximity of major neurovascular structures (iliac vessels, sciatic nerve, obturator nerve and vessels, superior gluteal nerve), and the need to restore both the weight-bearing pelvic ring and the articular congruence of the acetabulum require the most versatile reduction and fixation instrumentation in orthopaedic trauma. Pelvic reconstruction plates — contoured plates that conform to the three-dimensional curved surface of the pelvic brim, iliac wing, and posterior column — are the primary internal fixation implant for the acetabular columns, the pelvic brim, and the iliac wing. These plates must be contoured intraoperatively using plate benders and bending templates to match the specific patient's pelvic anatomy, as the pelvic surface geometry varies substantially between patients and cannot be approximated by pre-bent plates alone. The Pelvic Reconstruction Plate Instruments Set provides the reduction forceps, plate bending tools, drilling and tapping instruments, and bone manipulation instruments required for the complete ORIF workflow for pelvic and acetabular fractures through the standard approaches — ilioinguinal, Kocher-Langenbeck, and combined approaches.

Pelvic Reduction Forceps: Straight, Angled, Ball-Tipped, and Asymmetrical Types

The centrepiece of this set is its comprehensive pelvic reduction forceps inventory, addressing the diverse reduction challenges encountered across the full range of pelvic and acetabular fracture patterns. The five straight Pelvic Reduction Forceps (200mm, 250mm, 280mm, 330mm, 400mm) span the range from short forceps for the deep posterior iliac fossa and posterior column to long forceps for the anterior column and pelvic brim approached through the ilioinguinal window — the 400mm length provides the reach needed to access the anterior column across the ilioinguinal approach without the surgeon's hands entering the surgical field. The two Angled Pelvic Reduction Forceps (250mm and 280mm) provide a deflected jaw geometry that reaches bone surfaces angled away from the direct approach axis — at the posterior column, the quadrilateral surface, or the internal iliac fossa, where straight forceps cannot engage the bone surfaces on both sides of the fracture simultaneously. The Medium and Small Pelvic Reduction Forceps are used in more confined approaches and for smaller fracture fragments. The Pelvic Thermo-Spiked Asymmetrical Reduction Forcep with Disc uses a flat disc on one jaw and a pointed spike on the other to engage the convex outer iliac surface on one side and the concave inner iliac fossa surface on the other, providing a circumferential grip on the iliac wing that resists the rotational and shear forces generated by the thick gluteal muscle mass when reduction force is applied. The Pelvic Reduction Forceps with Three Ball-Tipped Tips provide three rounded contact points per jaw, distributing the reduction grip force over a wider cortical surface area to prevent cortical penetration when maximum reduction force is required in dense iliac cortical bone.

Plate Bending: Plate Bender, Bending Template, and Bending Irons

Pelvic reconstruction plates must be contoured to exactly match the curved three-dimensional surface of the specific pelvic brim, iliac wing, or acetabular column being plated — a plate that is not precisely contoured will contact the bone surface only at the plate ends when the screws are tightened, distorting the fracture reduction and risking hardware failure. The Bending Template is a malleable trial plate used to create the required three-dimensional contour by bending it to match the bone surface and measuring positions of the intended screw holes before the definitive plate is contoured. The Plate Bender applies the controlled three-point bending force to contour the definitive pelvic reconstruction plate to the planned shape without introducing stress risers or material fatigue at the bend points. The two Bending Irons provide the purchase points on the plate for the bending operation — one iron is placed at each of two positions along the plate while the Plate Bender applies force at the intermediate position, creating the bend at the intended location along the plate length.

Drilling, Tapping, and Screw Preparation Instruments

The Drill Guide 2.5mm for Flexible Drill Bit and the Flexible Drill Bit Ø2.5mm provide flexible-shaft drilling capability for pilot holes in the pelvic brim and quadrilateral surface regions where the bone surface is angled relative to the drill axis and a rigid drill bit would require the drill handle to be positioned inside the pelvis. The rigid Drill Bits Ø2.5mm and Ø3.0mm are used for straight drilling trajectories at the iliac wing, posterior column, and anterior column where direct axial access is available. The Tap Cortex 3.5mm threads the 2.5mm cortical pilot hole for the 3.5mm cortical reconstruction screws used at the pelvic brim and iliac wing. The Tap Cancellous 4mm threads the 3.2mm pilot hole for the 4.0mm cancellous screws used in the spongy cancellous bone of the iliac wing and posterior column cancellous zones. The Drill & Tap Guides Ø2.5/3.5mm and Ø3.2/4.0mm guide both the drill bit and the corresponding tap coaxially through the plate hole, ensuring the tapped thread is aligned with the drilled pilot hole and that both are perpendicular to the plate surface. The Depth Gauge 0–60mm measures the drill depth through the pelvic cortex for screw length selection — the 60mm range accommodates the greater bone depth of the iliac wing and posterior column compared to thinner pelvic brim cortex.

Bone Manipulation and Screw Management Instruments

The Straight Ball Spike 300mm provides a percutaneous or open reduction tool for large pelvic fragments — the ball tip is driven into the cancellous bone of the iliac wing or the posterior column and used as a joystick to translate and rotate the fragment into the reduced position before the reduction forceps are applied for definitive reduction holding. The Bone Hook and Bone Hook with T-Handle engage the bone edge or cortical rim for lever reduction in fracture patterns where the fracture displacement is a rotational deformity of one column relative to the other. The Universal Hexagonal Screwdriver 2.5mm Tip and dedicated Hexagonal Screwdriver 2.5mm Tip drive the hexagonal-headed pelvic reconstruction plate screws — the two screwdrivers allow two screws to be introduced in sequence without instrument exchange, reducing operative time at the critical plate-application step. The Broken Screw Removal Forceps extracts fractured screw shafts at revision surgery or when screws break during initial insertion in dense iliac cortical bone, allowing the plate to remain in place while the broken screw is removed and replaced. The Retractor 30mm provides the soft tissue retraction needed to maintain exposure of the plate application zone during the screw insertion sequence.

CE Mark, ISO 13485, and FDA Certification

The Pelvic Reconstruction Plate Instruments Set is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and production consistency for orthopaedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US-based hospitals, trauma centers, and orthopaedic departments.

Product Specifications

Frequently Asked Questions

What fracture types is the Pelvic Reconstruction Plate Instruments Set used for?
The Pelvic Reconstruction Plate Instruments Set is used for open reduction and internal fixation of pelvic ring fractures, acetabular fractures, and iliac wing fractures where reconstruction plates are the primary fixation implant. Pelvic ring indications include AO/OTA type B and C pelvic ring injuries with anterior column or pelvic brim displacement requiring plate fixation; pubic symphysis disruptions; iliac wing fractures (iliac wing body and iliac crest avulsion fractures); and sacroiliac joint injuries. Acetabular indications include anterior column, posterior column, anterior column posterior hemitransverse, and T-shaped acetabular fractures where reconstruction plates are applied along the pelvic brim, the posterior column, or both columns. The five straight forcep lengths (200–400mm) and the angled forcep pair accommodate the varied approach angles and bone access requirements of the ilioinguinal, Kocher-Langenbeck, and combined approaches used for these fracture patterns.

Why are five different lengths of straight Pelvic Reduction Forceps included?
Pelvic and acetabular ORIF is performed through approaches that provide access to different portions of the pelvis at varying depths — the ilioinguinal approach works in three windows (lateral, middle/obturator, and medial/vascular) at depths of 10–25cm from the skin surface, and the Kocher-Langenbeck approach accesses the posterior column and posterior wall through the sciatic notch. The 200mm forceps are used in relatively shallow or paediatric fields where instrument length would be excessive. The 280mm forceps are the standard length for most adult pelvic approaches. The 330mm and 400mm forceps provide the additional reach needed when working through the inner window of the ilioinguinal approach where the anterior column must be accessed across the iliopsoas fossa, or when working around the iliac vessels in the vascular window where the forceps handles must be positioned well away from the neurovascular bundle to reduce the risk of vessel injury during the reduction manoeuvre.

What is the Flexible Drill Bit and when is it used instead of rigid drill bits?
The Flexible Drill Bit Ø2.5mm is a flexible-shaft drill that bends to allow drilling at an angle to the drill handle axis — it is used when the pilot hole trajectory is not parallel to the available drill handle position. In the pelvic brim and quadrilateral surface regions, the plate screw holes may be angled obliquely relative to the approach axis, and a rigid drill bit would require the drill handle to be inside the pelvis or in contact with the iliac vessels to achieve the correct drilling angle. The Flexible Drill Bit allows the drill handle to remain outside the pelvis in a safe position while the flexible shaft bends to the required trajectory inside the pelvis. The Drill Guide 2.5mm for Flexible Drill Bit provides the tissue protection and directional guide for the flexible drill bit approach.

What is the Straight Ball Spike 300mm used for in pelvic fracture surgery?
The Straight Ball Spike 300mm is a percutaneous or open reduction instrument for large pelvic bone fragments. The ball-tipped end is inserted into the cancellous bone of the iliac wing or posterior column fracture fragment — either percutaneously through a small stab incision guided by fluoroscopy, or through the open approach — and used as a joystick lever to apply a controlled translation or rotational force to the fragment to achieve anatomical reduction before the definitive reduction forceps are applied. The ball tip provides a stable purchase in the cancellous bone without the need for a threaded implant, and the 300mm length provides the moment arm needed to overcome the muscle forces pulling the fragment out of position — particularly the gluteal muscle pull on the posterior iliac wing and the iliopsoas pull on the anterior column fragment. The Bone Hook and Bone Hook with T-Handle provide complementary bone manipulation capability at the fracture edges where hook engagement is more appropriate than spike insertion.

What certifications does this set carry?
The Pelvic Reconstruction Plate Instruments Set is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and manufacturing consistency for orthopaedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US hospitals, trauma centers, and orthopaedic departments requiring verified regulatory documentation for pelvic ORIF instrumentation purchases.