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European Journal of Trauma and Emergency Surgery

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01-04-2022 | Pelvic Ring Fractures | Original Article

How effective are different models of pelvic binders: results of a study using a Pelvic Emergency Simulator

Authors: Uwe Schweigkofler, Dennis Wincheringer, Jörg Holstein, Tobias Fritz, Reinhard Hoffmann, Tim Pohlemann, Steven C. Herath

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2022

Abstract

Background

The application of pelvic binders in the preclinical and early clinical phase is advisable to avoid or treat C-problems in unstable and potential bleeding pelvic ring fractures, even if the clinical effectivity is not completely proved. The use for pathologies in the posterior pelvic ring is still debatable.

Questions/purposes

We determined if there is a difference in achievable compression in the dorsal pelvic ring depending on position and pelvic binder model. Can this effect be tested with a simplified artificial model?

Methods

We simulated a Tile type C fracture within the established pelvic emergency trainer and measured in a test series the effectivity of reduction with a non-invasive stabilization technique using 3 different pelvic binders.

Results

Any therapeutic effect of a pelvic binder with compression to the posterior pelvic ring requires at first a reduction maneuver. While the compression effect in the symphysis depends only on positioning of the binder, in the posterior pelvic ring, the result varies with the used model. The achievable pressure in the SI joint with a pelvic binder is only 20–25% (33.5–47 N) compared to the C-Clamp values (156 N).

Conclusions

The use of pelvic binders for non-invasive pelvic ring stabilization, even with a posterior pathology, could be proven in a simplified fracture model. A proper fracture reduction and an adequate device positioning influence the effectiveness.

Clinical relevance

The use of an emergency pelvic trainer even for a non-invasive maneuver is advisable.

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Title: How effective are different models of pelvic binders: results of a study using a Pelvic Emergency Simulator
Authors: Uwe Schweigkofler
Dennis Wincheringer
Jörg Holstein
Tobias Fritz
Reinhard Hoffmann
Tim Pohlemann
Steven C. Herath
Publication date: 01-04-2022
Publisher: Springer Berlin Heidelberg
Keyword: Pelvic Ring Fractures
Published in: European Journal of Trauma and Emergency Surgery / Issue 2/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01406-0

At a glance: The STEP trials

Springer Medicine

How effective are different models of pelvic binders: results of a study using a Pelvic Emergency Simulator

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Clinical relevance

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