Ipsilateral Pelvi-Femuro-Tibial Injuries

22 years old male was admitted to our unit after RTA with the following injuries :

1. Fracture dislocation left sacrum with pelvic shear.
2. Severely comminuted fracture lower end lt. femur.
3. Fracture upper left tibia involving the tibial plateau.

The victim had many other organ trauma concerning other specialties e.g. general Surgery , cardiothoracic...etc.

From the orthopedic point of view the question is

What to do ? and How ?

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