Highlights
- •Properly placed pelvic binders reduced open book pelvic fractures 100% of the time.
- •Modification to binder position, with or without modification to the pelvic binder itself, is required for femoral access.
- •Successfully reduced open book pelvic fractures decreased with binder modifications.
Abstract
Background
Pelvic fractures are common and potentially life-threatening. Pelvic circumferential
compression devices (PCCD) can temporize hemorrhage, but more invasive strategies
that involve femoral access may be necessary for definitive treatment. The aim of
our study was to evaluate the efficacy of PCCDs reducing open book pelvic fractures
when utilizing commonly described modifications and placement adjustments that allow
for access to the femoral vasculature.
Methods
Open book pelvic fractures were created in adult cadavers. Three commercially available
PCCDs were used to reduce fractures. The binders were properly placed, moved caudally,
or moved cranially and modified. Fracture reduction rates were then recorded.
Results
The pelvic fracture was completely reduced with every PCCD tested when properly placed.
Reduction rates decreased with improper placement and modifications.
Conclusion
Modifying PCCD placement to allow femoral access decreased the effectiveness of these
devices Clinicians should be aware of this possibility when caring for critically
injured trauma patients with pelvic fractures.
Keywords
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Article info
Publication history
Published online: April 26, 2022
Accepted:
April 22,
2022
Received in revised form:
March 6,
2022
Received:
July 1,
2021
Identification
Copyright
© 2022 Published by Elsevier Inc.
