Fig. 2.

A 92-year-old female suffered a fall at home. The pelvic a.-p. overview shows a diastasis of the pubic symphysis and a fracture line at the right ilium (arrows) (a). CT-reconstruction along the pelvic brim shows the fracture of the right ilium and the diastasis of the pubic symphysis (arrows). The patient has a FFP type IIIa (b). Postoperative a.-p. pelvic overview. The ilium fracture and the pubic diastasis have been treated with open reduction and plate and screw osteosynthesis (c). Pelvic a.-p. overview two weeks after surgery. The three right screws of the pubic plate osteosynthesis show loosening. There are signs of surgical site infection. The symphysis plate needs to be removed and serial debridement becomes necessary (d). A.-p. pelvic overview after one month. The pubic diastasis has recurred. Due to surgical site infection at the ilium, serial debridement of the wound at the ilium is also needed (e)