Pelvic Binder vs. Pelvic C-clamp for Bleeding Control
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| no EES Patients with a Type-C pelvic ring fracture who underwent no external emergency stabilization (EES) for the posterior pelvic ring |
|
| Pelvic binder Patients with a Type-C pelvic ring fracture who received a pelvic binder for emergency stabilization of the posterior pelvic ring |
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| Pelvic C-clamp Patients with a Type-C pelvic ring fracture who received a pelvic C-clamp for emergency stabilization of the posterior pelvic ring |
Outcome Measures
Primary Outcome Measures
- Need for transfusion [24 hours]
Number of transfused units of packed red blood cells
- Time until emergency stabilization [6 hours]
The time until emergency stabilization device is placed in minutes
Secondary Outcome Measures
- Mortality rate [6 months]
The rate of deaths due to fatal bleeding
- Length of hospital stay [6 months]
Duration of the inpatient treatment in days
- Complication rate [6 months]
The rate of overall complications
Eligibility Criteria
Criteria
Inclusion Criteria:
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Written informed consent for data acquisition in the German Pelvic Registry
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Pelvic ring fracture Type C (AO/OTA)
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ISS (Abdomen) >8
Exclusion Criteria:
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Acetabular fracture
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Pelvic ring fracture Type A/B (AO/OTA)
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ISS (Abdomen) <9
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | BG Trauma Center | Tübingen | Germany | 72076 |
Sponsors and Collaborators
- BG Trauma Center Tuebingen
Investigators
- Principal Investigator: Markus A. Küper, MD, BG Trauma Center Tübingen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 002