Mohammadreza Bozorgmanesh - Department of Orthopedic Surgery, Arak University of Medical Sciences, Arak, Iran
Reza Latifi - Student Research Committee, Arak University of Medical Sciences, Arak, Iran
Nazanin Hassannejad - Student Research Committee, Arak University of Medical Sciences, Arak, Iran

An obese ۵۷-year-old woman with known hypertension and diabetes mellitus sustained multiple injuries during an accident, which caused anterior-posterior fracture-dislocation of the pelvic ring. Due to the drawbacks of conventional stabilizing methods for anterior-posterior fracture-dislocations of the hip in this setting, such as the inability to visualize anatomical landmarks fluoroscopically for the iliosacral screw technique and the compromised L۵ pedicle preventing lumbopelvic fixation, the patient underwent an innovative Hula Hoop technique described here. Using the Hula Hoop technique, a technique that has rarely been studied in humans, we avoided an invasive open procedure, decreased anesthesia time, reduced the size and number of incisions, and minim ized bleeding. After three months of routine physiotherapy and occupational therapy, the patient was able to walk with a walker and an ankle-foot orthosis. Level of evidence: V

Fracture dislocation, Fracture fixation, Minimal invasive, Multiple injuries, Pelvis, Unstable pelvic injuries