Research Article| Volume 41, ISSUE 12, P1239-1243, December 2010

Effect of a new pelvic stabilizer (T-POD®) on reduction of pelvic volume and haemodynamic stability in unstable pelvic fractures

  • Edward C.T.H. Tan
    Corresponding author at: Radboud University Nijmegen Medical Centre, Internal Postal Code 690, Department of Surgery–Division of Trauma Surgery, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Tel.: +31 24 361 38 71; fax: +31 24 354 05 01.
    Department of Surgery - Division of Trauma Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Sander F.L. van Stigt
    Department of Surgery - Division of Trauma Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Arie B. van Vugt
    Department of Surgery, Medisch Spectrum Twente, Enschede, The Netherlands
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      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.


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