ArticleScientific reports2021
Comparison of pelvic C-clamp and pelvic binder for emergency stabilization and bleeding control in type-C pelvic ring fractures.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition.Critical care (London, England) · 2023Guideline
- Hemorrhage control in pelvic ring injuries: the role of PCCDs and other acute measures in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Evolution of management strategies for unstable pelvic ring injuries over the past 40 years: a systematic review.Patient safety in surgery · 2024Article
- Efficacy and outcomes of rescue screws in unstable pelvic ring injuries - A retrospective matched cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Emergency treatment of pelvic ring injuries: state of the art.Archives of orthopaedic and trauma surgery · 2024Review
- Control of Haemorrhage in Orthopaedic Trauma.Journal of clinical medicine · 2024Review
- Standard practice in the treatment of unstable pelvic ring injuries: an international survey.International orthopaedics · 2023Article
- ["Stop the bleeding"-Acute bleeding control in injuries to the trunk and extremities].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Effect of C-Clamp Application on Hemodynamic Instability in Polytrauma Victims with Pelvic Fracture.Medicina (Kaunas, Lithuania) · 2022Article
- Evaluation of decision-making in the treatment of acetabular fractures.EFORT open reviews · 2022Review
- Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2021Article
- Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures-Are Guidelines Followed in Daily Practice?Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Severe bleeding is the major cause of death in unstable pelvic ring fractures. Therefore, a quick and efficient emergency stabilization and bleeding control is inevitable. C-clamp and pelvic binder are efficient tools for temporary bleeding control, especially from the posterior pelvic ring. Yet the C-clamp requires more user knowledge, training and equipment. However, whether this makes up for a more efficient bleeding control, is still under debate. Patients with a type-C pelvic ring fracture were identified from the German Pelvic Registry (GPR) and divided into three groups of 40 patients (1. no emergency stabilization, 2. pelvic binder, 3. C-clamp). The matching occurred according to the parameters age, gender, initial RR and initial HB. Complication-and mortality rates were compared especially regarding bleeding control. Regarding ISS and fracture dislocation there was no difference. The use of the C-clamp resulted in more complications, a higher mortality rate due to severe bleeding and more blood transfusions were admitted. Moreover the pelvic binder was established noticeably faster. However, the C-clamp was more often rated as effective. There is no evidence of advantage comparing the C-clamp to the pelvic binder, regarding bleeding control in type-C pelvic ring fractures. In fact, using the pelvic binder even showed better results, as the time until established bleeding control was significantly shorter. Therefore, the pelvic binder should be the first choice. The C-clamp should remain a measure for selected cases only, if an adequate bleeding control cannot be achieved by the pelvic binder.
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