Shieh AK, Hayes CB, Shelton TJ, et al. - A retrospective cohort review was conducted to ascertain if fracture pattern, implant size, fixation direction, or the amount of posterior pelvic ring fixation influences superior ramus medullary screw fixation failure. Researchers enrolled 95 patients with 111 superior ramus fractures with 3 months minimum follow-up after exclusion criteria. As per the finding, 4-5% was the incidence of superior pubic ramus intramedullary screw fixation failure. Failures still occur without a common failure predictor even with anterior and posterior fixation along with precise technique. The results of this study demonstrate that the percutaneous advantages and proven strength provided by an intramedullary implant make it desirable to help reestablish global pelvic ring stability. There is a need for biomechanical and clinical studies to further understand intramedullary superior ramus screw fixation.