{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:00:35Z","timestamp":1789912835208,"version":"4.0.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 32-year-old male sustained a complex vertical shear pelvic fracture after a motor vehicle accident, associated with hemodynamic instability and a large Morel-Lavall\u00e9e lesion involving the anterior pelvis and right thigh. Initial management included external fixation and percutaneous sacroiliac screw placement as part of damage-control orthopedics. Two weeks later, anterior subcutaneous internal fixation (INFIX) was performed to provide anterior pelvic stability while limiting further soft-tissue dissection. Postoperative imaging showed satisfactory reduction and implant positioning. The INFIX component was removed four months later after healing, with preserved pelvic stability. At 18\u00a0months, the patient was able to walk with a cane and had regained urinary continence, although bilateral foot drop persisted. This case highlights the role of soft-tissue condition in surgical decision-making for complex pelvic trauma.<\/jats:p>","DOI":"10.1093\/jscr\/rjag842","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:30:41Z","timestamp":1788521441000},"source":"Crossref","is-referenced-by-count":0,"title":["Anterior subcutaneous internal fixation for a complex vertical shear pelvic fracture with Morel-Lavall\u00e9e lesion: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7501-2520","authenticated-orcid":false,"given":"Abdullah B","family":"Alshreef","sequence":"first","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Makkah\u2013 Jeddah, King Abdulaziz Medical City, Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]},{"name":"King Abdullah International Medical Research Centre, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majd","family":"SaemAldahar","sequence":"additional","affiliation":[{"name":"Department of Surgery\/Orthopedic section, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhafer S","family":"Almuffarh","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Makkah\u2013 Jeddah, King Abdulaziz Medical City, Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]},{"name":"King Abdullah International Medical Research Centre, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]},{"name":"Department of Surgery\/Orthopedic section, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alhazmi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Makkah\u2013 Jeddah, King Abdulaziz Medical City, Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]},{"name":"King Abdullah International Medical Research Centre, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]},{"name":"Department of Surgery\/Orthopedic section, King Abdulaziz Medical City , Jeddah 22384 ,","place":["Kingdom of Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"2026092009052596000_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-01772-w","article-title":"Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study","volume":"15","author":"Abdelrahman","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"2026092009052596000_ref2","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1016\/j.jemermed.2015.03.048","article-title":"Importance of pelvic radiography for initial trauma assessment: an orthopedic perspective","volume":"50","author":"Verbeek","year":"2016","journal-title":"J Emerg Med"},{"key":"2026092009052596000_ref3","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1016\/j.jor.2021.01.004","article-title":"INFIX: safe and effective surgical option for complex fracture patterns of the anterior pelvic ring: a prospective single center study","volume":"23","author":"Sharma","year":"2021","journal-title":"J Orthop"},{"key":"2026092009052596000_ref4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36134","article-title":"Functional outcome of internal fixation (INFIX) in anterior pelvic ring 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anterior internal fixator (INFIX) and percutaneous iliosacral screws","volume":"8","author":"Shetty","year":"2017","journal-title":"J Clin Orthop Trauma"},{"key":"2026092009052596000_ref8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/BOT.0b013e318233b8a7","article-title":"Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series","volume":"26","author":"Vaidya","year":"2012","journal-title":"J Orthop Trauma"},{"key":"2026092009052596000_ref9","doi-asserted-by":"publisher","first-page":"562","DOI":"10.5312\/wjo.v14.i7.562","article-title":"Internal fixator vs external fixator in the management of unstable pelvic ring injuries: a prospective comparative cohort study","volume":"14","author":"Abo-Elsoud","year":"2023","journal-title":"World J Orthop"},{"key":"2026092009052596000_ref10","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1007\/s00402-020-03742-7","article-title":"Outcomes and complications of the INFIX technique for unstable pelvic ring injuries with high-velocity trauma: a systematic review and meta-analysis","volume":"142","author":"Patel","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026092009052596000_ref11","doi-asserted-by":"publisher","first-page":"S54","DOI":"10.1016\/j.injury.2021.05.031","article-title":"Functional outcomes of the anterior subcutaneous internal pelvic fixator (INFIX) technique for pelvic ring injuries: a case series","volume":"52","author":"Alencar","year":"2021","journal-title":"Injury"}],"container-title":["Journal of Surgical Case 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