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The Journal of Bone and Joint Surgery (American) 84:S43-S47 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Scientific Exhibits

Emergent Management of Pelvic Ring Fractures with Use of Circumferential Compression

Michael Bottlang, PhD, James C. Krieg, MD, Marcus Mohr, Tamara S. Simpson, MD and Steven M. Madey, MD

Corresponding author: Michael Bottlang, PhDBiomechanics Laboratory, Legacy Health System, Legacy Clinical Research & Technology Center, 1225 N.E. 2nd Avenue, Portland, OR 97232. E-mail address: mbottlan@lhs.org

In support of their research or preparation of this manuscript, one or more of the authors received grants or outside funding from Legacy Research Foundation and the U.S. Office of Naval Research (Grant N00014-01-1-0132). None of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Circumferential compression of the pelvis has been recommended for emergent stabilization of open-book pelvic fractures to reduce the risk of life-threatening hemorrhage 1-3 . However, little information on the application, effectiveness, and safety of this procedure is available to date 3,4 . We therefore investigated noninvasive stabilization of pelvic ring fractures in three cadaveric biomechanical studies. First, we established optimal application parameters for circumferential compression of open-book pelvic fractures. Second, we derived the amount of pelvic stabilization that can be achieved by application of a novel pelvic sling that provides for controlled circumferential compression. Finally, we determined whether this pelvic sling could be applied safely at the emergency scene, where the specific pelvic fracture pattern is not readily assessable. The results of this research demonstrate that circumferential compression with this noninvasive pelvic sling is an effective and safe method for reducing and stabilizing open-book pelvic fractures at the emergency scene.


   Methods
 
Application Parameters: . . . [Full Text of this Article]


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