Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board Of Health Specializations Orthopedic Surgery Final Clinical And Oral Examination Exam

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A 45-year-old male is brought to the trauma bay following a high-speed motor vehicle collision. An anteroposterior pelvic radiograph reveals symphysis pubis diastasis of 4.5 cm with disruption of the anterior sacroiliac ligaments (Young-Burgess APC-II / Open Book). The patient is hemodynamically unstable with a blood pressure of 82/46 mmHg. What is the most critical initial mechanical intervention?

Emergent placement of an open retroperitoneal packing via laparotomy Application of a pelvic binder centered precisely over the greater trochanters Immediate traction pin placement in the distal femur Application of a pelvic binder high around the iliac crests and abdomen

Correct Answer:

Application of a pelvic binder centered precisely over the greater trochanters

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