FC Orth(SA) Final Practice Questions - Fellowship Of The College Of Orthopaedic Surgeons Of South Africa Final Examination FC Orth(SA) Final Exam

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A 35-year-old female sustains a high-energy pelvic ring injury after a fall from height. AP pelvic radiography reveals a Lateral Compression Type 1 (LC-1) fracture with complete sacral fracture displacement and persistent hemodynamic instability despite pelvic binder placement and fluid resuscitation. What is the most appropriate next step in acute resuscitation?

Immediate pelvic angiography and transcatheter arterial embolization Urgent open reduction and internal fixation of the anterior pelvic ring Immediate placement of a distal femoral traction pin Bilateral internal iliac artery surgical ligation

Correct Answer:

Immediate pelvic angiography and transcatheter arterial embolization

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