Emergency treatment of multiply injured patients with unstable disruption of the posterior pelvic ring by using the "C-clamp": Analysis of 28 consecutive cases

European Journal of Trauma

Volumn 31, Issue 3, 2005, Pages 244-251

  Tiemann, Andreas Heinrich ^a   Böhme, Jörg ^a   Josten, Christoph ^a  

^a UNIVERSITY OF LEIPZIG   (Germany)

Author keywords

"C clamp"; Unstable pelvic ring fracture

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BLOOD; CIRCULATION; CLAMP; CLINICAL ARTICLE; DEATH; EMERGENCY TREATMENT; EMERGENCY WARD; EVALUATION; FEMALE; FRACTURE FIXATION; HEMODYNAMICS; HOSPITAL ADMISSION; HUMAN; INJURY SCALE; MALE; MEAN ARTERIAL PRESSURE; MULTIPLE TRAUMA; OUTCOMES RESEARCH; OXYGENATION; PELVIS FRACTURE; PELVIS INJURY; RETROSPECTIVE STUDY; SCORING SYSTEM; SURVIVAL; TIME;

EID: 21244457252     PISSN: 14390590     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00068-005-2053-5     Document Type: Article

References (48)

1. Ertel W, Keel M, Eid K, et al. Control of severe hemorrhage using c-clamp and pelvic packing in multiply injured patients with pelvic ring disruption. JOT 2001;15:468-74.
2. Gunterberg B, Goldie I, Slatis P. Fixation of pelvis fractures and dislocation: an experimental study on the loading of pelvic fractures and sacroiliac dislocations after external compression fixation. Acta Orthop Scand 1978;49:278.
3. Heini PF, Witt J, Ganz R. The pelvic C-clamp for the emergency treatment of unstable pelvic ring injuries. A report on clinic experiences of 30 cases. Injury 1996;27:Suppl 1:S-A38-45.
4. Mears DC, Fu MH. Modern concepts of external skeletal fixation of the pelvis. Clin Orthop 1980;151:65-73.
5. Pohlemann T, Krettek C, Hoffmann R, et al. Biomechanischer Vergleich verschiedener Notfallstabilisierungsmaßnahmen am Beckenring. Unfallchirurg 1994;97:503-10.
6. Poole GV, Ward EF, Muakkassa FF, et al. Pelvic fracture from major blunt trauma. Outcome is determined by associated injuries. Ann Surg 1991;213:532-8.
7. Schmelzeisen H, Weller S. Becken. In: Baumgartl F, Kremer K, Schreiber H, Hrsg. Spezielle Chirurgie für die Praxis. Stuttgart: Thieme, 1980.
8. Fleming W, Bowen J. Control of hemorrhage in pelvic crush injuries. J Trauma 1983;13:567-70.
9. Moreno C, Moore EE, Rosenberger A, et al. Hemorrhage associated with major pelvis fracture: a multispeciality challenge. Arch Surg 1986;26:987-94.
10. Davis FE. Pelvic fractures at a community hospital. Am Surg 1986;52:548.
11. Duquennoy A, Tillie B, Fontain C, et al. Acetabular fractures and sacroiliac dislocations. Rev Chir Orthop 1985;71:311-8.
12. McBroom R, Tile M. Disruption of the pelvic ring. Orthop Trans 1982;6:493-7.
13. Rothkötter HJ, Berner W. Failure load and displacement of human sacroiliac joint under in vitro loading. Arch Orthop Trauma Surg 1988;107:238-7.
14. Ben-Menachem Y, Coldwell D, Young J, et al. Hemorrhage associated with pelvic fractures: causes, diagnosis and emergent management. AJR 1990;157:1005-14.
15. Cryer H, Miller F, Evers B, et al. Pelvic fracture classification: correlation with hemorrhage. J Orthop Trauma 1988;7:973-80.
16. Flint LM, Babikian C, Anders M, et al. Definitive control of mortality from severe pelvic fracture. Ann Surg 1990;211:703-6.
17. Pohlemann T, Regel G, Bosch U, et al. Notfallbehandlung und Komplextrauma In: Tscherne H, Pohlemann T, Hrsg. Unfallchirurgie, Becken und Acetabulum. Berlin-Heidelberg: Springer, 1998.
18. Bosch U, Pohlemann T, Tscherne H. Primary management of pelvic injuries. Orthopäde 1992;21:385-92.
19. Brotman S, Soderstrom C, Oster-Granite M, et al. Management of severe bleeding in fractures of the pelvis. Surg Gynecol Obstet 1981;153:823-6.
20. Kellam JF. The role of external fixation in pelvic disruptions. Clin Orthop 1989;241:66-82.
21. Poole GV, Ward EF. Causes of mortality in patients with pelvic fractures. Orthopedics 1994;17:691-6.
22. Dahners LE, Jacobs RP, Jayaraman G, et al. A study of external skeletal fixation systems for unstable pelvic fractures. J Trauma 1984;24:876-81.
23. Richter H. Die transacetabuläre Beckensprengung und ihre Behandlung mittels percutaner Schraubenzugkompression. Monatsschr Unfallheilkd 1964;3:109.
24. Varney M, Fisher I, Becker H, et al. Intraabdominelle Zusatzverletzungen bei Polytraumatisierten mit Beckenfrakturen. Akt Traumatol 1990;20:226-30.
25. McMurtry R, Walton D, Dickinson D, et al. Pelvic disruption in the polytraumatized patient: a management protocol. Clin Orthop 1980;151:22-30.
26. Gililand M, Ward R, Barton R, et al. Factors affecting mortality in pelvic fractures. J Trauma 1982;22:691-3.
27. Naam N, Brown W, Hurd R. Major pelvic fractures. Arch Surg 1983;118:610-6.
28. Rothenberger D, Fischer R, Perry J. Major vascular injuries secondary to pelvic fractures: an unsolved clinical problem. Am J Surg 1978;136:660-2.
29. Ganz R, Krushell RJ, Jakob RP, et al. The antishock pelvic clamp. Clin Orthop 1991;267:71-8.
30. Mucha P, Farnell MB. Analysis of pelvic fracture management. J Trauma 1984;24:379-84.
31. Gruen GS, Leit ME, Gruen RJ, et al. The acute management of hemodynamically instable multiple trauma patients with pelvic ring fractures. J Trauma 1994;36:706-11.
32. Riemer BL, Butterfield SL, Diamond DL, et al. Acute mortality associated with injuries to the pelvic ring: the role of early patient mobilization and external fixation. J Trauma 1993;35:671-7.
33. Castaman E. External fixation of fractures and fracture dislocation of the pelvis. Ital J Orthop Traumatol 1989;15:315-29.
34. Davis JW. The relationship of base deficit to lactate in porcine hemorrhagic shock and resuscitation. J Trauma 1994;36:168-72.
35. Herrmann J, Joka T, Obertacke U, et al. Überlegungen zur Behandlung der Massenblutung nach Trauma. Unfallchirurg 1987;90:373-9.
36. Gocken EC, Burgess AR, Siegel JH, et al. Pelvic fracture mechanism of injury in vehicular trauma patients. J Trauma 1994;36:789-95.
37. Hölting T, Buhr HJ, Richter GM, et al. Diagnosis and treatment of retroperitoneal hematoma in multiple trauma patients. Arch Orthop Trauma Surg 1992;111:323-6.
38. Hofmann G. Treatment of fresh fractures and dislocations of the pelvis with external fixation. Z Unfallchir Versicherungsmed Berufskr 1988;81:111-9.
39. Siegmeth A, Müllner T, Kukla C, et al. Associated injuries in severe pelvic trauma. Unfallchirurg 2000;103:572-81.
40. Batalden DJ, Wichstrom PH, Ruiz E, et al. Value of the G suit in patients with severe pelvic fractures. Arch Surg 1974;109:326.
41. Aprahamian C, Gessert G, Bandyk D, et al. MAST-associated compartment syndrome (MACS). A review. J Trauma 1989;29:549-55.
42. Dalal S, Burgess A, Young J. Pelvic fractures: classification by force vector in relationship to associated injuries. Presented at the Orthopedic Trauma Association Meeting, Dallas, TX, October 1988:27-8.
43. Pohlemann T, Culemann U, Gänsslen A, et al. Die schwere Beckenverletzung mit pelviner Massenblutung: Ermittlung der Blutungsschwere und klinische Erfahrung mit der Notfallstabilisierung. Unfallchirurg 1996;99:734-43.
44. Gylling SF, Ward RE, Holcroft JW, et al. Immediate external fixation of unstable pelvic fractures. Am J Surg 1985;150:72.
45. Edwards CC, Meier PJ, Browner BD, et al. Results treating 50 unstable pelvic injuries using primary external fixation. Orthop Trans 1985;9:434.
46. Tiemann A, Schmidt C, Gonschorek O, et al. Notfallbehandlung des instabilen Beckens. Stellenwert der Beckenzwinge. Zentralbl Chir 2004;129:245-51.
47. Burgess A, Eastridge B, Young J, et al. Pelvic ring disruption: effective classification systems and treatment protocols. J Trauma 1990;30:848-56.
48. Dávid A, Möllenhoff G, Josten C, et al. Perineale Verletzungen bei komplexen Beckentraumen. Swiss Surg 1996;2:4-9.