45 yo BF struck by car while crawling in the highway (long s | Figure 1

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45 yo BF struck by car while crawling in the highway (long story). Great example of an APC-3 pelvis with pubic symphysis and bilateral SI widening. Hemodynamically unstable until pelvic binder placed (2nd image). Surprisingly did not have bladder injury. Also had complete right sacral and pubic rami fxs. OR for pelvis ex fix to quickly close down pelvis after removal of binder. Then ORIF pubic symphysis (plate slightly asymmetric to span ramus fx), R transacral screw x2 and L SI screw. Then removal of ex fix. Non weight bearing x 12 weeks.