{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:25:59Z","timestamp":1783441559924,"version":"3.54.6"},"reference-count":25,"publisher":"Bioscientifica","issue":"5","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":2844,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The most common cause of post-traumatic pelvic asymmetry is, by far, initial nonoperative treatment. Open reduction and internal fixation of unstable pelvic fractures are recommended to avoid pelvic nonunion or subsequent structural deformities. The most common symptom is pelvic pain. Pelvic instability is another symptom, as well as persistent urogenital problems and neurological sequelae. Preoperative evaluation of these patients requires careful clinical and functional assessment, in addition to a complete radiological study. Surgical treatment of pelvic fracture nonunions is technically demanding and has potentially serious complications. We have developed a new classification that modifies and completes Mears and Velyvis\u2019s classification in which we highlight two types of post-traumatic sequelae with different clinical conditions and whose basic differentiating element is whether pelvic deformity is present or not. Based on this classification, we have established our strategy of surgical treatment.<\/jats:p>\n                  <jats:p>Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302\/2058-5241.3.170069.<\/jats:p>","DOI":"10.1302\/2058-5241.3.170069","type":"journal-article","created":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T10:25:32Z","timestamp":1526898332000},"page":"335-346","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":14,"title":["Pelvic post-traumatic asymmetry: Assessment and sequenced treatment"],"prefix":"10.1530","volume":"3","author":[{"given":"Pedro","family":"Cano-Lu\u00eds","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Roc\u00edo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel \u00c1ngel","family":"Gir\u00e1ldez-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Roc\u00edo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Andr\u00e9s-Cano","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Roc\u00edo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2018,5,21]]},"reference":[{"key":"2026070711214208400_bibr1-2058-5241.3.170069","doi-asserted-by":"crossref","unstructured":"Kanakaris\n              NK\n            \n            \n              Angoules\n              AG\n            \n            \n              Nikolaou\n              VS\n            \n            \n              Kontakis\n              G\n            \n            \n              Giannoudis\n              PV\n            \n          . Treatment and outcomes of pelvic malunions and nonunions: a systematic review. Clin Orthop Relat Res2009;467:2112-2124.","DOI":"10.1007\/s11999-009-0712-2"},{"key":"2026070711214208400_bibr2-2058-5241.3.170069","doi-asserted-by":"crossref","unstructured":"Tripathy\n              SK\n            \n            \n              Goyal\n              T\n            \n            \n              Sen\n              RK\n            \n          . Nonunions and malunions of the pelvis. Eur J Trauma Emerg Surg2015;41:335-342.","DOI":"10.1007\/s00068-014-0461-0"},{"key":"2026070711214208400_bibr3-2058-5241.3.170069","doi-asserted-by":"crossref","unstructured":"Fang\n              C\n            \n            \n              Alabdulrahman\n              H\n            \n            \n              Pfeifer\n              R\n            \n            \n              Tarkin\n              IS\n            \n            \n              Pape\n              HC\n            \n          . Late reconstruction of severe open-book deformities of the pelvis - tips and tricks. Int Orthop2017;41:1777-1784.","DOI":"10.1007\/s00264-017-3549-4"},{"key":"2026070711214208400_bibr4-2058-5241.3.170069","doi-asserted-by":"crossref","unstructured":"Papakostidis\n              C\n            \n            \n              Kanakaris\n              NK\n            \n            \n              Kontakis\n              G\n            \n            \n              Giannoudis\n              PV\n            \n          . Pelvic ring disruptions: treatment modalities and analysis of outcomes. Int Orthop2009;33:329-338.","DOI":"10.1007\/s00264-008-0555-6"},{"key":"2026070711214208400_bibr5-2058-5241.3.170069","doi-asserted-by":"crossref","unstructured":"Dienstknecht\n              T\n            \n            \n              Pfeifer\n              R\n            \n            \n              Horst\n              K\n            \n            \n          . 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