Thanks Adam - I agree it's not a pure APC (is there really such thing as a pure force vector strictly in the x,y or z plane?). I stand corrected. Maybe a hybrid APC (ext rot of L hemipelvis, symphysis disruption, ext rot of R anterior innominate) plus vertical shear as well with 3 or-so cm of cephalad migration of the R ilium. Maybe just "C-type".....
I agree the perc methods described by you and others would be tough to learn on this guy. maybe later, or on cadaver first!
My current plan is supine, ORIF symphysis with as close to AFT reduction as possible, then fix the R ilium via lat window Ilioing.
approach with lags in the solid crest bone, 2 plates (one along pelvic brim and one up on the inside of the crest), then, if I have good posterior reduction and can get a good view of the ICD on my lat sacral view with image, L side perc SI screw, if not then anterior L SI approach and 2 anterior plates.
Jeff
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