Manipulation of the acetabular fragment, re-orientation and fixation. (A) Preoperative X-ray image. (B) Upon completion of the osteotomy lines. Iliac cut (white arrow) and pubic cut (black arrow) can be seen. A 4 mm Schanz pin can be inserted into the supraacetabular area to help manipulation. (C) Fine tunning the correction with the help of a laminar spreader. (D) Final correction and fixation. Coverage (CEA) has improved with horizontal sourcil.