The Antishock Pelvic Clamp

Ganz, Reinhold; Krushell, Robert J.; Jakob, R. P.; Kuffer, Jurg

doi:10.1097/00003086-199106000-00009

Cited by 217 publications

(90 citation statements)

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“…In cases of emergency and haemodynamic instability, the pelvic clamp can provide temporary stabilisation [3,4], while there are different options for the definitive repair of the posterior pelvic ring (depending on fracture morphology), such as lumbopelvic and iliolumbar support using a system of rods and screws [5], a sacroiliac screw connection [6] or sacral screw and plates osteosyntheses in various configurations [7,8]. Furthermore, the transiliacal internal fixator (TIFI) represents another stable and minimally invasive option [9,10].…”

Section: Introductionmentioning

confidence: 99%

The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures. Clinical and radiological mid-term results

Müller

Stosiek

Zellner

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to determine the outcome of unstable type C pelvic fractures treated with posterior stabilisation and the anterior subcutaneous internal fixator (ASIF). Methods Altogether, 36 consecutive patients were treated for unstable type C pelvic ring fractures using posterior stabilisation and ASIF. After a minimum of 18 months, the clinical and radiological outcome was retrospectively investigated. Results Overall, three patients (8.3 %) died, and 31 patients (86 %) were available for follow-up after a mean of 4.5 years. Thirty of 31 patients (97 %) showed radiographic bone consolidation of both the posterior and anterior pelvic ring. Only one non-union and two infections due to the anterior device were observed. The total German pelvic outcome score showed an excellent or good rating for 64.5 % of the patients, and a fair or poor for 35.5 %. The SF-12 questionnaire showed a significantly reduced total score for physical and mental health compared to a general reference population. Conclusions The ASIF represents an innovative surgical procedure for the treatment of type C pelvic ring fractures. In the medium term, patient satisfaction was high and the complication rate was low, despite the small number of patients. More cases must be investigated before the procedure can be recommended in general, possibly replacing the external fixator for the treatment of pelvic ring fractures in the future.

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Section: Introductionmentioning

confidence: 99%

The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures. Clinical and radiological mid-term results

Müller

Stosiek

Zellner

et al. 2013

International Orthopaedics (SICOT)

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“…do plexo venoso pré-sacral (15)(16) . Apesar dos maiores cuidados que ultimamente se tem dispensado a esses pacientes e das tentativas de melhora no atendimento desse tipo de trauma, a literatura relata índices de mortalidade que variam entre 6 e 27%, geralmente por grande perda sanguínea, sendo mais elevados se forem analisados somente os casos de graves lesões do anel pélvico, associadas à instabilidade hemodinâmi-ca (1,3,(18)(19) .…”

Section: A B Cunclassified

“…O método apresenta um inconveniente, que é a freqüente necessidade de suporte ventilatório, devido à compressão da região do abdome (8)(9)13) . O fixador externo anterior é freqüentemente utilizado no tratamento de emergência para a estabilização e contenção do sangramento em lesões do anel pélvi-co, mas tem ação limitada na região posterior do anel, local onde ocorrem as maiores perdas sanguíneas (14)(15) .…”

Section: Introductionunclassified

“…O dispositivo desenvolvido por Ganz et al ou clampe pélvico de Ganz é um dos métodos indicados no tratamento de urgência das lesões do anel pélvico, pois estabiliza e proporciona compressão na região posterior do anel, local mais crítico e importante da lesão (15)(16)(17) .…”

Section: Introductionunclassified

“…Decidimos, assim, avaliar as facilidades ou dificuldades do método e, principalmente, a eficiência do clampe na estabilização e diminuição do espaço na região posterior do anel. (15) . Inicialmente, é identificado o ponto de penetração do pino de fixação no ilíaco, que corresponde a um ponto localizado a aproximadamente 8-10cm ântero-lateral à espinha ilíaca póstero-superior, ao longo de uma linha imaginária entre esta e a espinha ilíaca ântero-superior (fi-gura 2A).…”

Section: Introductionunclassified

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Clampe de Ganz no tratamento de urgência em lesões do anel pélvico

Pereira¹,

Pereira²,

Dinhani³

et al. 2008

Rev. bras. ortop.

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Effectiveness of pelvic circumferential compression device for lower body trauma: Insights from a Japan Trauma Data Bank retrospective study

Ono,

Miyata,

Suzuki

et al. 2024

Acute Medicine & Surgery

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AimPelvic ring fractures (PRFs) due to high‐energy trauma often result in severe bleeding and high mortality. Pelvic circumferential compression devices (PCCD) are widely used to stabilize PRF and decrease bleeding. However, evidence supporting their effectiveness is still inconclusive.MethodsWe conducted an observational study using the Japan Trauma Data Bank (JTDB) from 2019 to 2021. Patients with blunt lower body trauma aged 15 years or older were included. We used propensity score matching (PSM) and inverse probability of treatment weighting (IPTW) to evaluate the association of PCCD and mortality.ResultsOf the 74,393 patients in the database, 235 PCCD group and 23,429 control group were analyzed. After PSM, 231 patients in both groups were enrolled. Crude analysis indicated significantly higher in‐hospital mortality in the PCCD group (odds ratio (OR) = 3.8 [95% CI = 2.51–5.75]). However, PSM and IPTW analysis indicated that PCCD was associated with decreased in‐hospital mortality (PSM: OR = 0.79 [0.43–1.42]; IPTW: OR = 0.73 [0.62–0.86]). In a subgroup analysis of the IPTW analysis, PCCD fitting resulted in increased in‐hospital mortality in the group without PRF (OR = 2.08 [1.91–2.27]), a decrease in stable PRF (OR = 0.74 [0.6–0.91]), and a further decrease in unstable PRF (OR = 0.18 [0.12–0.27]). Additional factors, such as a fall from a height, a fall downstairs, and pre‐hospital PCCD placement also influenced the treatment effect.ConclusionThe present, large, registry‐based study found that PCCD reduced mortality in patients with a lower body injury, especially those with an unstable PRF.

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The Antishock Pelvic Clamp

Cited by 217 publications

References 0 publications

The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures. Clinical and radiological mid-term results

The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures. Clinical and radiological mid-term results

Clampe de Ganz no tratamento de urgência em lesões do anel pélvico

Effectiveness of pelvic circumferential compression device for lower body trauma: Insights from a Japan Trauma Data Bank retrospective study

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