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Pelvic C-clamp in a pediatric patient
Ginger E Holt1, Gregory A Mencio
1Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232-2550, USA.
Journal of Orthopaedic Trauma
|August 7, 2003
Summary
The pelvic C-clamp offers safe, temporary posterior fixation for pediatric pelvic ring injuries with severe hemorrhage. This method avoids growth plate disruption, unlike anterior external fixators.
Area of Science:
- Orthopedic surgery
- Pediatric trauma care
- Emergency medicine
Background:
- Pediatric pelvic ring injuries are rare but can cause life-threatening hemorrhage.
- Anterior external fixators are effective but complex for emergency use in children.
- The pelvic C-clamp was developed for temporary posterior pelvic stabilization in adults.
Observation:
- A skeletally immature patient with a posterior pelvic ring injury and massive hemorrhage was treated.
- The pelvic C-clamp was applied for temporary posterior fixation.
- The C-clamp provided fixation without compromising physeal growth areas.
Findings:
- The pelvic C-clamp proved to be a safe and effective temporary fixation method.
- This approach successfully managed posterior pelvic ring instability and associated hemorrhage.
- It offers a simpler alternative to anterior external fixators in pediatric emergencies.
Implications:
- The pelvic C-clamp may be a valuable tool for managing pediatric pelvic ring injuries with hemorrhage.
- It provides a less invasive and quicker fixation option compared to traditional methods.
- Further studies are warranted to evaluate its long-term outcomes in pediatric populations.
