PMC8560322_01
3D CT showing the right pubic bone locked behind the left pubic rami. The pelvis also has a right transverse acetabular fracture.
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Pelvis x-ray and CT scan was taken and showed right side overlapping symphysis pubis associated with ipsilateral transverse acetabular fracture type (Figure 1).
Shows x-ray of the overlapped symphysis, the upper arrow shows the displaced right side pubic bone behind the left pubic bone (lower arrow).
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The retropubic space was accessed with blunt dissection to expose the overlapped pubis symphysis and the rami (Figure 2).
The post-op x-ray after fixation of the symphysis pubis with plating and right acetabulum with lag screw. (A) Inlet pelvic (B), Anteroposterior pelvic (C), Outlet pelvic x-rays.
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A post-operative x-ray image was taken the day after surgery (Figure 3).
Anteroposterior x-ray image of the pelvis at 6 months follow up.
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Pelvic radiograph showed the hardware in a good position with fracture and dislocations staying reduced (Figure 4).