PRACTICE OF USING THE PELVIC C-CLAMP IN PATIENTS WITH SEVERE CONCOMITANT PELVIC INJURY

Abstract

The OBJECTIVE the study is to rate the clinical efficacy of pelvic C-clamp in patients with unstable pelvic ring injuries and signs of intrapelvical ongoing bleeding. MATERIAL AND METHODS. We studied the results of treatment of 87 patients with unstable pelvic ring injuries signs of unstable hemodynamics. Pelvic C-clamp was used for mechanical stabilization of the posterior pelvic half-ring in order to stop the ongoing pelvic bleeding. Surgical methods of hemostasis in addition to the stabilization of the pelvis were used in 30 patients. Control of systolic blood pressure in the dynamics, volume and duration of blood transfusion therapy were carried out to assess the effectiveness of hemostasis. Additionally, spiral computed tomography with intravenous contrast enhancement and pelvic diagnostic angiography were performed. RESULTS. Surgical methods of hemostasis combined with mechanical stabilization of the damaged pelvic ring made allow to achieve the final stopping of the ongoing pelvic bleeding in ¾ patients. CONCLUSION. In severe concomitant pelvic injury, surgical methods of hemostasis in combination with mechanical stabilization of the damaged pelvic ring should be actively used in patients in critical condition.

Keywords

• polytrauma
• unstable pelvic ring injuries
• pelvic с-clamp
• surgical hemostasis