Gomindes, AustinRemtulla, MohammedabbasCooper, JulianNikolaides, Anastasios P2024-05-232024-05-232022-01-03Gomindes A, Remtulla M, Cooper J, Nikolaides AP. Fracture of pubic rami during hip fracture fixation: a rare case of traction table-related injury. BMJ Case Rep. 2022 Jan 3;15(1):e246581. doi: 10.1136/bcr-2021-2465811757-790X10.1136/bcr-2021-24658134980641http://hdl.handle.net/20.500.14200/4646We present a case of an elderly and comorbid patient who was scheduled to undergo a hip fracture fixation using an intramedullary nail. Unfortunately, this was delayed by 3 weeks as the patient was unfit to undergo this procedure. She was placed onto the traction table and intraoperatively sustained a superior and inferior pubic rami fracture while attempting reduction on the traction table. Closed-reduction techniques using traction tables and perineal posts are not without morbidity. Risk factors such as osteoporosis and delayed-fixation should be accounted for when managing this complex and often frail group of patients.en© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.OrthopaedicsArticle