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Fig. 6 | Journal of Orthopaedic Surgery and Research

Fig. 6

From: Sacral osteotomy combined with triangular osteosynthesis in the treatment of malunion and nonunion of vertically displaced pelvic fractures

Fig. 6

A 44-year-old male patient with a type C3.3 pelvic fracture. a–c Preoperative AP X-ray and three-dimensional CT showing significant vertical displacement (4.5 cm) of the right hemipelvis. d Osteotomy of the right sacrum, followed by lumbopelvic distraction osteosynthesis, bone grafting, and bilateral sacroiliac screw fixation, resulting in a residual unilateral vertical pelvic displacement of 0.6 cm. e Nonunion of the pubic rami combined with severe third-degree burn scars in the left inguinal region necessitating, external fixation of the anterior pelvic ring. f–h AP, inlet, and outlet X-ray at the six-month follow-up showing no displacement of the fracture (the external fixator of the anterior pelvic ring was removed 3 months after surgery)

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