Pelvic fractures, often the result of high energy blunt trauma, are associated with severe morbidity and mortality. A new pelvic stabilizer (T-POD®) provides secure and effective simultaneous circumferential compression of the pelvis.
In this study we describe 15 patients with a prehospital untreated unstable pelvic fracture with signs of hypovolaemic shock with the T-POD®. Before and 2 min after applying the T-POD®, heart rate and blood pressure were measured. An X-ray before and directly after applying the T-POD® was made to measure the effect on reduction in symphyseal diastasis.
Application of the T-POD® reduced the symphyseal diastasis with 60% (p = 0.01). The mean arterial pressure (MAP) increased significant from 65.3 to 81.2 mm Hg (p = 0.03) and the heart rate declined from 107 beats per minute to 94 (p = 0.02). Out of ten patients in whom the circulatory response before and after the T-POD® was recorded, seven were good responders, one had a transient response and two responded poor.
In the acute setting, the T-POD® device has a clear compressive effect on the pelvic volume in unstable pelvic fractures. The T-POD® is therefore an effective and easy to use device in (temporarily) stabilizing the pelvic ring in haemodynamically unstable patients.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The trochanteric C-clamp for provisional pelvic stability.J Orthop Trauma. 2006; 20: 47-51
- Intrapelvic dislocation of the left hemipelvis as a complication of the pelvic “C” clamp: a case report and review.J Orthop Trauma. 1997; 11: 540-542
- Emergent management of pelvic ring fractures with use of circumferential compression.J Bone Joint Surg Am. 2002; 84-A: 43-47
Committee on Trauma of the American College of Surgeons. ATLS Student Manual. 6th ed. Chicago: American College of Surgeons, 1997.
- Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior–posterior compression type pelvic fractures: a cadaveric study.Injury. 2008; 39: 903-906
- The antishock pelvic clamp.Clin Orthop Relat Res. 1991; : 71-78
- Emergent treatment of pelvic fractures. Comparison of methods for stabilization.Clin Orthop Relat Res. 1995; : 75-80
- Prevalence of pelvic fractures, associated injuries, and mortality: the United Kingdom perspective.J Trauma. 2007; 63: 875-883
- Damage control orthopaedics in unstable pelvic ring injuries.Injury. 2004; 35: 671-677
- The role of associated injuries on outcome of blunt trauma patients sustaining pelvic fractures.Injury. 2000; 31: 677-682
- Mortality in patients with pelvic fractures: results from the German pelvic injury register.J Trauma. 2008; 64: 449-455
- Guidelines for the management of haemodynamically unstable pelvic fracture patients.ANZ J Surg. 2004; 74: 520-529
- Improved outcome with early fixation of skeletally unstable pelvic fractures.J Trauma. 1991; 31: 28-31
- Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients.J Trauma. 2007; 62: 687-691
- Circumferential pelvic antishock sheeting: a temporary resuscitation aid.J Orthop Trauma. 2006; 20: S3-S6
- Effectiveness and complications of pelvic circumferential compression devices in patients with unstable pelvic fractures: a systematic review of literature.Injury. 2009;
- Pelvic ring fractures: should they be fixed?.J Bone Joint Surg Br. 1988; 70: 1-12
- Unstable pelvic fractures: a retrospective analysis.Injury. 1995; 26: 81-85
- An unstable pelvic ring. The killing fracture.J Bone Joint Surg Br. 2006; 88: 427-433
- Haemodynamically unstable pelvic fractures.Injury. 2009; 40: 1023-1030
Accepted: March 9, 2010
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.