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Nonsurgical management with weight bearing as tolerated
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Nonsurgical management with no weight bearing on the left side
Nonsurgical management with use of a pelvic binder
Open reduction and internal fixation of the anterior pelvis
Open reduction and internal fixation of the anterior pelvis with placement of a left-sided percutaneous posterior screw
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Symphyseal widening of greater than 2.5 cm and less than 5 cm denotes an AP II injury and a rotationally unstable pelvis. An AP II pelvic ring injury is best treated with anterior open reduction and internal fixation. Nonsurgical management is reserved for AP I injuries. Pelvic binders are used only acutely and should not be used for definitive management. Iliosacral screws usually are not necessary in the acute management of AP II injuries.
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