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. 2017 Jun 29;46(1):368–380. doi: 10.1177/0300060517715529

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© The Author(s) 2017

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 1. — A 35-year-old man with anterior and posterior pelvic ring injuries (Tile type C1) caused by a traffic accident. (a, b) Preoperative plain X-ray film and three-dimensional computed tomography image showed bilateral pubic ramus fractures combined with an avulsion fracture of the left posterior superior iliac spine. The red arrow shows the dorsal fracture. (c) Anterior surgical incisions for modified internal fixation. (d) Three screws at both the anterior inferior iliac spine and pubic tubercle constituted a geometric triangle. (e) Postoperative plain X-ray film showed good reduction after performance of anterior modified internal fixation using a posterior transiliac internal fixator. (f) One-year postoperative plain X-ray film showed fracture healing as evidenced by progressive callus formation.