Internal fixator vs external fixator in the management of unstable pelvic ring injuries: A prospective comparative cohort study

Figure 3 57-year-old male patient sustained a Tile B type pelvic fracture after fall from a 3 meter height on his Rt. side. A: Pelvis antero-posterior (AP) X-ray view and axial computed tomography cuts showing Rt. sacral and bilateral rami fractures. The patient has an associated Rt. pertrochanteric fracture; B: The pelvic fracture was fixed using a fully threaded sacroiliac screw and an external fixator (EXFIX). The pertrochanteric fracture was also fixed at the same session using a long femoral nail; C: 3-mo follow-up pelvic X-ray (AP, inlet and outlet) views showing complete union. The EXFIX was removed in the outpatient clinic on the same day; D: 9-mo follow-up X-ray showing consolidation of the fractures. The patient had excellent function with complete return to his prefracture activity level.