Fig. 1A–C.

Illustrative case of a 44-year-old man injured in a motorcycle crash. The injury AP radiograph (A) shows a rotationally unstable Orthopaedic Trauma Association 61 pelvic ring injury with pubic diastasis of 38 mm. After standard open reduction and internal fixation using a symphyseal plate (B), the pubic space is measured at 4.5 mm. At last 26-month followup, the AP radiograph (C) demonstrates a loss fixation by means of separation of the screw heads and the plate (seen best at arrows) and widening of the pubic space to 7.6 mm.