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in this video iamp;#39;ll be demonstrating a left sacral iliac joint fusion utilizing a single implant here i am palpating the posterior superior iliac spine to determine the safe starting point for our initial pin placement we use a line that intersects the mid axis of the femur and a line intersecting the axis of the psis and then divide this line into thirds and the typical starting point is at the intersection of the posterior third and the middle third between this grid this is often a safe starting point to prevent going in the greater sciatic notch or cranial to the iliac crest we then take the smaller of the k wires and insert this into the safe starting point grid we use the smaller guide pin to help preventing any damage to the surrounding soft tissues utilizing inlet and outlet fluoroscopy weamp;#39;re able to obtain a near perfect starting point with this smaller pin youamp;#39;ll see me adjusting the pin placement based on the trajectory of the inlet view but utilizing