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The pelvic C-clamp for the emergency treatment of unstable pelvic ring injuries. A report on clinical experience of 30 cases.
Journal article

The pelvic C-clamp for the emergency treatment of unstable pelvic ring injuries. A report on clinical experience of 30 cases.

  • 1996-01-01
Published in:
  • Injury. - 1996
Adolescent
Adult
Aged
Aged, 80 and over
External Fixators
Female
Fracture Fixation
Fractures, Bone
Humans
Male
Middle Aged
Pelvic Bones
Treatment Outcome
English An unstable pelvic ring injury was stabilized with the AO C-clamp in thirty multiply injured patients. The average ISS was 29 (19-57). Transfusions totalled 24 units of blood/fresh frozen plasma/platelets (0-117) on average. In 12 cases, the application was for an unstable fracture alone, in 18 patients there was an unstable haemodynamic situation in addition. The application was haemodynamically effective in 10 cases. In 66% of cases, the initial reduction was good and the anatomy of the pelvic ring was adequately restored. Ten patients (33%) died; five during the first hours after admission due to haemorrhagic shock; the remaining five from multiple organ failure, fat embolism and head injury. Definitive stabilization was accomplished after 4.5 days on average (0-15). Complications relating directly to the clamp did not occur. The application of the C-clamp has a clear place in the management of polytraumatized patients with linear unstable pelvic ring injuries.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/223858
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