“…Furthermore, anatomical reduction under direct manipulation of the fracture fragments can be done more precisely [3,10,11]. Nevertheless, there are clear advantages to using an external fixator -for example for open fractures [12][13][14], perineal injuries (see Figure 3), rectal or vaginal injuries [15], and unstable pelvic ring fractures with threatening or manifest hemodynamic instability [16][17][18][19] -as an addition to retroperitoneal packing, and as a necessary positioning treatment during the intensive care period [20,21].…”