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Forty-two patients with complete sacral fractures were included in the study; twenty-one patients were assigned to each group (the TIFI group and the ISS group). A comprehensive analysis of the collected clinical, functional, and radiological data was carried out for both groups. The subjects' mean age was 32 years (with a spread from 18 to 54 years), and the mean follow-up duration was 14 months (with a span from 12 to