Comparison of skin pressure measurements with the use of pelvic circumferential compression devices on pelvic ring injuries

Injury
Mark L PrasarnGlenn R Rechtine

Abstract

Pelvic circumferential compression devices are commonly used in the acute treatment of pelvic fractures for reduction of pelvic volume and initial stabilisation of the pelvic ring. There have been reports of catastrophic soft-tissue breakdown with their use. The aim of the current investigation was to determine whether various pelvic circumferential compression devices exert different amounts of pressure on the skin when applied with the force necessary to reduce the injury. The study hypothesis was that the device with the greatest surface area would have the lowest pressures on the soft-tissue. Rotationally unstable pelvic injuries (OTA type 61-B) were surgically created in five fresh, whole human cadavers. The amount of displacement at the pubic symphysis was measured using a Fastrak, three-dimensional, electromagnetic motion analysis device (Polhemus Inc., Colchester, VT). The T-POD, Pelvic Binder, Sam Sling, and circumferential sheet were applied in random order for testing. The devices were applied with enough force to obtain a reduction of less than 10mm of diastasis at the pubic symphysis. Pressure measurements, force required, and contact surface area were recorded with a Tekscan pressure mapping system. The mean skin ...Continue Reading

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Citations

Oct 23, 2018·Experimental and Therapeutic Medicine·Shiguang LiDongsheng Zhou
Feb 27, 2021·Burns : Journal of the International Society for Burn Injuries·Seung Yeol LeeCheong Hoon Seo
Jun 22, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Josephine Berger-GrochUNKNOWN Trauma Register DGU

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