Polytrauma Clinical Trial
Official title:
Bleeding Control in Type-C Pelvic Ring Fractures Using the Pelvic C-clamp vs. the Pelvic Binder for Emergency Stabilization - a Matched Pair Analysis From the German Pelvic Registry
Pelvic ring fractures carry a high risk for severe bleeding. Expecially bleeding from the posterior ring might result in a fatal course. Different types of external emergency stabilization (EES) are available for the posterior pelvic ring, namely the non-invasive pelvic binder or the invasive pelvic c-clamp. Which stabilization technique is superior, has not been investigated yet.
Severe bleeding is the major cause of death in unstable pelvic ring fractures. Therefore, a
quick and efficient emergency stabilization and bleeding control is inevitable. The pelvic
C-clamp and the pelvic binder are efficient tools for temporary bleeding control, especially
for the posterior pelvic ring. However, whether these disadvantages make up for a more
efficient bleeding control, still needs to be discussed in the guidelines of the emergency
management of pelvic ring fractures.
Patients with a type-C pelvic ring fracture were identified from the German Pelvic Registry
(GPR). The patients were divided into three groups of 40 patients: 1. group without emergency
stabilization, 2. group treated with pelvic binder and 3. group treated with pelvic C-clamp.
The patients were matched according to the following parameters: age, gender, initial RR and
HB level. The complication rates and mortality rates were compared between the groups,
especially regarding bleeding control, as measured by the amount of transfused blood
products. Furthermore, the subjective efficacy of the treatment was assessed. Finally, the
time until established bleeding control was compared.
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