2021, Number 2
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An Med Asoc Med Hosp ABC 2021; 66 (2)
C clamp for unstable pelvic fracture management
Fernández PLJ, González PR
Language: Spanish
References: 32
Page: 114-119
PDF size: 290.21 Kb.
ABSTRACT
Pelvic fractures are associated with high mortality due to the injury itself and/or associated injuries like head, chest, abdomen, and extremities. Unstable pelvic ring injuries can cause massive hemorrhage, more than 80% originating from the presacral plexus. Up to 25% of these patients die as a direct consequence of severe hemorrhagic shock. The C-clamp allows a rapid and efficient reduction, compression and stabilization of these injuries, therefore, it is an useful tool in shock control, without delaying or hindering the subsequent diagnosis and definite treatment; through mechanical stabilization, bleeding is controlled, thus gaining enough time for definitive control, being able to perform studies such as tomography and magnetic resonance without the need to remove the system, as well as providing unrestricted access to the abdomen, pelvis or proximal femur, injury sites frequent concomitant to pelvic injuries.
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EVIDENCE LEVEL
III