$Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures$
Código QR

Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures

Abstract 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. C-clamp and pelvic binder are efficient tools for temporary bleeding control, especially from the posterior pelvic ring...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Christof K. Audretsch, Daniel Mader, Christian Bahrs, Alexander Trulson, Andreas Höch, Steven C. Herath, Markus A. Küper, Working Group on Pelvic Fractures of the German Trauma Society
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/147851612c1c4637b9e807184511da23
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:147851612c1c4637b9e807184511da23
record_format	dspace
spelling	oai:doaj.org-article:147851612c1c4637b9e807184511da232021-12-02T14:16:26ZComparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures10.1038/s41598-021-81745-z2045-2322https://doaj.org/article/147851612c1c4637b9e807184511da232021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81745-zhttps://doaj.org/toc/2045-2322Abstract 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. C-clamp and pelvic binder are efficient tools for temporary bleeding control, especially from the posterior pelvic ring. Yet the C-clamp requires more user knowledge, training and equipment. However, whether this makes up for a more efficient bleeding control, is still under debate. Patients with a type-C pelvic ring fracture were identified from the German Pelvic Registry (GPR) and divided into three groups of 40 patients (1. no emergency stabilization, 2. pelvic binder, 3. C-clamp). The matching occurred according to the parameters age, gender, initial RR and initial HB. Complication—and mortality rates were compared especially regarding bleeding control. Regarding ISS and fracture dislocation there was no difference. The use of the C-clamp resulted in more complications, a higher mortality rate due to severe bleeding and more blood transfusions were admitted. Moreover the pelvic binder was established noticeably faster. However, the C-clamp was more often rated as effective. There is no evidence of advantage comparing the C-clamp to the pelvic binder, regarding bleeding control in type-C pelvic ring fractures. In fact, using the pelvic binder even showed better results, as the time until established bleeding control was significantly shorter. Therefore, the pelvic binder should be the first choice. The C-clamp should remain a measure for selected cases only, if an adequate bleeding control cannot be achieved by the pelvic binder.Christof K. AudretschDaniel MaderChristian BahrsAlexander TrulsonAndreas HöchSteven C. HerathMarkus A. KüperWorking Group on Pelvic Fractures of the German Trauma SocietyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Christof K. Audretsch Daniel Mader Christian Bahrs Alexander Trulson Andreas Höch Steven C. Herath Markus A. Küper Working Group on Pelvic Fractures of the German Trauma Society Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
description	Abstract 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. C-clamp and pelvic binder are efficient tools for temporary bleeding control, especially from the posterior pelvic ring. Yet the C-clamp requires more user knowledge, training and equipment. However, whether this makes up for a more efficient bleeding control, is still under debate. Patients with a type-C pelvic ring fracture were identified from the German Pelvic Registry (GPR) and divided into three groups of 40 patients (1. no emergency stabilization, 2. pelvic binder, 3. C-clamp). The matching occurred according to the parameters age, gender, initial RR and initial HB. Complication—and mortality rates were compared especially regarding bleeding control. Regarding ISS and fracture dislocation there was no difference. The use of the C-clamp resulted in more complications, a higher mortality rate due to severe bleeding and more blood transfusions were admitted. Moreover the pelvic binder was established noticeably faster. However, the C-clamp was more often rated as effective. There is no evidence of advantage comparing the C-clamp to the pelvic binder, regarding bleeding control in type-C pelvic ring fractures. In fact, using the pelvic binder even showed better results, as the time until established bleeding control was significantly shorter. Therefore, the pelvic binder should be the first choice. The C-clamp should remain a measure for selected cases only, if an adequate bleeding control cannot be achieved by the pelvic binder.
format	article
author	Christof K. Audretsch Daniel Mader Christian Bahrs Alexander Trulson Andreas Höch Steven C. Herath Markus A. Küper Working Group on Pelvic Fractures of the German Trauma Society
author_facet	Christof K. Audretsch Daniel Mader Christian Bahrs Alexander Trulson Andreas Höch Steven C. Herath Markus A. Küper Working Group on Pelvic Fractures of the German Trauma Society
author_sort	Christof K. Audretsch
title	Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
title_short	Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
title_full	Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
title_fullStr	Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
title_full_unstemmed	Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures
title_sort	comparison of pelvic c-clamp and pelvic binder for emergency stabilization and bleeding control in type-c pelvic ring fractures
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/147851612c1c4637b9e807184511da23
work_keys_str_mv	AT christofkaudretsch comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT danielmader comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT christianbahrs comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT alexandertrulson comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT andreashoch comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT stevencherath comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT markusakuper comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures AT workinggrouponpelvicfracturesofthegermantraumasociety comparisonofpelviccclampandpelvicbinderforemergencystabilizationandbleedingcontrolintypecpelvicringfractures
_version_	1718391650493923328

Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures

Ejemplares similares