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

2018 ◽  
Vol 177 (4) ◽  
pp. 38-43
Author(s):  
I. V. Kazhanov ◽  
V. A. Manukovskii ◽  
I. M. Samokhvalov ◽  
G. M. Besaev ◽  
S. I. Mikityuk ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Pelvic Injury ◽  
Intravenous Contrast ◽  
Transfusion Therapy ◽  
Mechanical Stabilization ◽  
Pelvic Ring Injuries ◽  
Results Of Treatment ◽  
Surgical Methods ◽  
Diagnostic Angiography ◽  
Unstable Pelvic Ring Injuries

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.

scholarly journals Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries

2017 ◽  
Vol 176 (4) ◽  
pp. 44-47 ◽  
Author(s):  
I. M. Samokhvalov ◽  
I. V. Kazhanov ◽  
V. A. Manukovskiy ◽  
A. N. Tulupov ◽  
S. I. Mikityuk ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Critical Conditions ◽  
Intravenous Contrast ◽  
Severe Injuries ◽  
Pelvic Packing ◽  
Mechanical Stabilization ◽  
Pelvic Ring Injuries ◽  
Results Of Treatment ◽  
Pelvic Stabilization ◽  
Unstable Pelvic Ring Injuries

OBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries. Extraperitoneal pelvic packing was applied in order to stop bleeding after mechanical pelvic stabilization. The evaluation of hemostasis efficacy was performed by using computerized helical tomography with intravenous contrast. RESULTS. The extraperitoneal pelvic packing allowed doctors to achieve stop of bleeding in 14 (73,7 %) patients. CONCLUSIONS. Complex of mechanical stabilization and extraperitoneal pelvic packing of damaged pelvic ring could be actively used in cases of severe injuries for victims in critical conditions.

scholarly journals Treatment of Vertically Unstable Pelvic Ring Injuries in Patients with Complicated Pelvic Trauma

2014 ◽  
pp. 26-31 ◽  
Author(s):  
S. A. Ushakov ◽  
S. Yu. Lukin ◽  
A. V. Nikol’Skiy
Keyword(s):  
Pelvic Ring ◽  
Clinical Decision ◽  
Pelvic Trauma ◽  
Pelvic Injury ◽  
Abdominal Injuries ◽  
Treatment Results ◽  
Pelvic Ring Injuries ◽  
Pelvic Ring Instability ◽  
Type Of Injury ◽  
Unstable Pelvic Ring Injuries

The purpose of the work was to improve the treatment results for patients with complicated pelvic injury using differentiated application of transosseous and internal osteosynthesis. Retrospective analysis of treatment results is presented for 52 patients with vertically unstable pelvic ring injuries and concomitant abdominal injuries. Clinical cases demonstrate the variants of clinical decision depending on the type of injury, degree of pelvic ring instability, pattern of concomitant abdominal injuries. Protocol of patient management in such injuries is suggested.

scholarly journals Treatment of Vertically Unstable Pelvic Ring Injuries in Patients with Complicated Pelvic Trauma

2014 ◽  
Vol 21 (1) ◽  
pp. 26-31
Author(s):  
S. A Ushakov ◽  
S. Yu Lukin ◽  
A. V Nikol’skiy
Keyword(s):  
Pelvic Ring ◽  
Clinical Decision ◽  
Pelvic Trauma ◽  
Pelvic Injury ◽  
Abdominal Injuries ◽  
Treatment Results ◽  
Pelvic Ring Injuries ◽  
Pelvic Ring Instability ◽  
Type Of Injury ◽  
Unstable Pelvic Ring Injuries

The purpose of the work was to improve the treatment results for patients with complicated pelvic injury using differentiated application of transosseous and internal osteosynthesis. Retrospective analysis of treatment results is presented for 52 patients with vertically unstable pelvic ring injuries and concomitant abdominal injuries. Clinical cases demonstrate the variants of clinical decision depending on the type of injury, degree of pelvic ring instability, pattern of concomitant abdominal injuries. Protocol of patient management in such injuries is suggested.

Initial experience with the T-Clamp for temporary fixation of mechanically and hemodynamically unstable pelvic ring injuries

Injury ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 699-704 ◽  
Author(s):  
Aresh Sepehri ◽  
Marcus F. Sciadini ◽  
Jason W. Nascone ◽  
Theodore T. Manson ◽  
Robert V. O'Toole ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Initial Experience ◽  
Pelvic Ring Injuries ◽  
Unstable Pelvic Ring Injuries

The past, present, and future management of hemodynamic instability in patients with unstable pelvic ring injuries

Injury ◽  
2020 ◽  
Author(s):  
Joshua A. Parry ◽  
Wade R. Smith ◽  
Ernest E. Moore ◽  
Clay C. Cothren Burlew ◽  
Cyril Mauffrey
Keyword(s):  
Pelvic Ring ◽  
Hemodynamic Instability ◽  
Pelvic Ring Injuries ◽  
The Past ◽  
Unstable Pelvic Ring Injuries ◽  
Future Management

The Longitudinal Short-, Medium-, and Long-Term Functional Recovery After Unstable Pelvic Ring Injuries

2019 ◽  
Vol 33 (12) ◽  
pp. 608-613 ◽  
Author(s):  
Michael E. Neufeld ◽  
Henry M. Broekhuyse ◽  
Peter J. OʼBrien ◽  
Pierre Guy ◽  
Kelly A. Lefaivre
Keyword(s):  
Functional Recovery ◽  
Pelvic Ring ◽  
Pelvic Ring Injuries ◽  
Unstable Pelvic Ring Injuries

Internal Fixation for Unstable Pelvic Ring Injuries in Polytrauma Patients

2009 ◽  
Vol 16 (3) ◽  
pp. 74-79
Author(s):  
V A Sokolov ◽  
E I Byalik ◽  
Aleksey Maksimovich Fayn ◽  
D V Evstigneev ◽  
V A Sokolov ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Functional Results ◽  
Symphysis Pubis ◽  
Multiple Injury ◽  
Scientific Research Institute ◽  
Pelvic Fractures ◽  
Basic Part ◽  
Pelvic Ring Injuries ◽  
Polytrauma Patients ◽  
Unstable Pelvic Ring Injuries

During the period from 1997 to 2008 three hundred twenty two polytrauma patients with unstable pelvic ring injuries were operated on at the department of concomitant and multiple injury of Sclifosovskiy Scientific-Research Institute for Emergency Care. External fixation of pelvic ring fragments was the basic part of antishock therapy. Avulsion of symphysis pubis was treated using original pelvic plate. In multiple pelvic fractures two specially designed reconstructive plates were applied via 2 endopelvic mini approaches. Elaborated treatment tactics enabled to achieve good anatomical and functional results in the majority of patients.

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