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The antishock pelvic clamp.

R Ganz1, R J Krushell, R P Jakob

  • 1Department of Orthopaedic Surgery, University of Bern, Switzerland.

Clinical Orthopaedics and Related Research
|June 1, 1991
PubMed
Summary
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An antishock clamp rapidly stabilizes pelvic fractures, reducing venous bleeding in hypotensive patients. This external fixator aids hemodynamic stabilization but is not for arterial bleeding.

Area of Science:

  • Trauma surgery
  • Orthopedic surgery
  • Emergency medicine

Background:

  • Unstable posterior pelvic ring disruptions often cause severe venous bleeding and hypotension.
  • Mechanical stabilization is crucial for reducing blood loss in these injuries.

Observation:

  • A novel external fixator, the antishock clamp, offers direct reduction and compression of sacroiliac joint disruptions.
  • It is designed for acute application in hypotensive patients, stabilizing the posterior pelvic ring rapidly.
  • The clamp can be applied in under ten minutes and does not impede subsequent surgical procedures.

Findings:

  • The antishock clamp has demonstrated effectiveness in providing hemodynamic stabilization concurrent with fracture reduction.
  • Clinical experience suggests it is particularly beneficial for venous bleeding associated with pelvic disruptions.

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Implications:

  • This device represents a promising tool for acute management of hemodynamically unstable pelvic fractures.
  • Further clinical data will clarify its role, especially in differentiating venous from arterial bleeding sources.