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An 18-year-old female presents to the trauma bay after a MVC. She was intubated upon arrival and taken to the OR emergently for exploratory laparotomy, suprapubic catheter placement, and vaginal wall repair. Patient was noted to be a young, active, healthy patient.
PMH
Non contributory
PE
Patient was intubated and sedated on initial exam. Upon exam in the OR, she had active bleeding from vagina. No open wounds elsewhere. Vascular exam was unremarkable. Unable to perform nerve exam initially, but was completely neuro intact following traction pin placement and awakening from anesthesia. No obvious deformity on any of the extremities.
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Skeletal traction placement following exploratory laparotomy, vaginal wall repair, and suprapubic catheter placement
Open reduction internal fixation of left pelvic ring injury, percutaneous screw fixation of right anterior column acetabulum, and placement of anterior external fixator