Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures : a cadaveric study
OBJECTIVE: To demonstrate that a commercially available pelvic binder the trauma pelvic orthotic device (T-POD) is an effective way to provisionally stabilise anterior-posterior compression type pelvic injuries.
METHODS: Rotationally unstable pelvic injuries were created in 12 non-embalmed human cadaveric specimens. Each pelvis was then stabilised first with a standard bed sheet wrapped circumferentially around the pelvis and held in place with a clamp. After recreating the symphyseal diastasis, the pelvis was stabilised with the T-POD. Reduction of the symphyseal diastasis was assessed by comparing measurements obtained via pre- and post-stabilisation AP radiographs.
RESULTS: The mean symphyseal diastasis was reduced from 39.3mm (95% CI 30.95-47.55) to 17.4mm (95% CI -0.14 to 34.98) with the bed sheet, and to 7.1mm (95% CI -2.19 to 16.35) with the T-POD.
CONCLUSIONS: Although both a circumferential sheet and the T-POD were able to decrease symphyseal diastasis consistently, only the T-POD showed a statistically significant improvement in diastasis when compared to injury measurements. In 75% of the cadaveric specimens (9 of 12), the T-POD was able to reduce the symphysis to normal (<10mm diastasis). Both a circumferential sheet and the T-POD are effective in provisionally stabilising Burgess and Young anterior-posterior compression II type pelvic injuries, but the T-POD is more effective in reducing symphyseal diastasis.
| Errataetall: |
CommentIn: Injury. 2009 Jun;40(6):673; author reply 673-4. - PMID 19380131 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2008 |
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| Erschienen: |
2008 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
Injury - 39(2008), 8 vom: 15. Aug., Seite 903-6 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
DeAngelis, Nicola A [VerfasserIn] |
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| Anmerkungen: |
Date Completed 09.12.2008 Date Revised 24.11.2016 published: Print-Electronic CommentIn: Injury. 2009 Jun;40(6):673; author reply 673-4. - PMID 19380131 Citation Status MEDLINE |
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| doi: |
10.1016/j.injury.2007.12.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM180519050 |
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| 245 | 1 | 0 | |a Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures |b a cadaveric study |
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| 500 | |a Date Revised 24.11.2016 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Injury. 2009 Jun;40(6):673; author reply 673-4. - PMID 19380131 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To demonstrate that a commercially available pelvic binder the trauma pelvic orthotic device (T-POD) is an effective way to provisionally stabilise anterior-posterior compression type pelvic injuries | ||
| 520 | |a METHODS: Rotationally unstable pelvic injuries were created in 12 non-embalmed human cadaveric specimens. Each pelvis was then stabilised first with a standard bed sheet wrapped circumferentially around the pelvis and held in place with a clamp. After recreating the symphyseal diastasis, the pelvis was stabilised with the T-POD. Reduction of the symphyseal diastasis was assessed by comparing measurements obtained via pre- and post-stabilisation AP radiographs | ||
| 520 | |a RESULTS: The mean symphyseal diastasis was reduced from 39.3mm (95% CI 30.95-47.55) to 17.4mm (95% CI -0.14 to 34.98) with the bed sheet, and to 7.1mm (95% CI -2.19 to 16.35) with the T-POD | ||
| 520 | |a CONCLUSIONS: Although both a circumferential sheet and the T-POD were able to decrease symphyseal diastasis consistently, only the T-POD showed a statistically significant improvement in diastasis when compared to injury measurements. In 75% of the cadaveric specimens (9 of 12), the T-POD was able to reduce the symphysis to normal (<10mm diastasis). Both a circumferential sheet and the T-POD are effective in provisionally stabilising Burgess and Young anterior-posterior compression II type pelvic injuries, but the T-POD is more effective in reducing symphyseal diastasis | ||
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| 700 | 1 | |a Eskander, Mark S |e verfasserin |4 aut | |
| 700 | 1 | |a Eskander, Jonathan P |e verfasserin |4 aut | |
| 700 | 1 | |a French, Bruce G |e verfasserin |4 aut | |
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