Anterior Pelvic Injuries Wheeless

Description: Open Surgical Approach
Indications:
- open book pelvis injury w/ greater than a 2.5 cm pubic diastasis;
- note that fixation of pubic rami fractures can be much more complex than the fixation of a simple diastasis;
  - controversies:
    - management of anterior symphyseal injuries w/ concomitant urethra injury:
    - consider anterior plating of symphyseal injuries at either the time of supra-pubic catheter insertion or within a 24-48 hour window;
    - after 48 hours, risk of infection is unacceptably high;