PMC3465085_01
External fixator.
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Because of the concomitant sacroiliac injury it was not possible to close completely the pubic diastasis (Fig. 1).
CT-scan: multiple fractures in the right acetabulum (arrow) and right side of the sacrum and a large diastasis of the pubic symphysis (triangle).
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On the sixth postoperative day, a CT-scan was performed which confirmed multiple fractures in the right acetabulum and right side of the sacrum and a large diastasis of the pubic symphysis (Fig. 2).
Extraperitoneal approach with tissue loss (arrow), bone displacement (triangle) and the bladder (square).
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Two ureteral catheters were placed and individually externalized, the bladder opening was double-layer closed, and a perivesical drain was left in place (Fig. 3).
Metal plate on the pubic symphysis (arrow) and right testicle above the fractured pubic ramus (triangle).
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The right testicle was identified above the fractured pubic ramus and was replaced in the scrotum (Fig. 4).