This is vital in high stress environments where over-tightening by emergency medical personnel under duress could potentially be extreme and harmful. The SAM Pelvic Sling IIвЂ™s patented Autostop buckle is programmed to stop your pull once the correct compression force has been obtained. Researchers at Legacy Health System utilised cadaver studies and clinical trials to determine the optimum range of force required to safely and effectively close an unstable pelvic fracture. The SAM Pelvic Sling II was designed not to over-tighten or under-tighten, unlike other commercial binders which allow unlimited force to be applied to the patient. doi: 10.1097/TA.For Stabilisation of Pelvic Fractures with the Correct Force External fixation for acute pelvic ring injuries: Decision making and technical options. Stahel PF, Mauffrey C, Smith R, McKean J, Hao J, Burlew CC, Moore EE.Reduction of the posterior pelvic ring by non-invasive stabilization: a report of two cases. Qureshi A, McGee A, Cooper JP, Porter KM.Emergent pelvic fixation in patients with exsanguinating pelvic fractures. Croce MA, Magnotti LJ, Savage SA, Wood GW, Fabian TC.Noninvasive reduction of open-book pelvicfractures by circumferential compression. Bottlang M, Simpson T, Sigg J, Krieg JC, Madey SM, Long WB.A historic вЂњopen book fracture.вЂќ Pan African Medical J.В 2016 24:9. Radiological analysis, operative management and functional outcome of open book pelvic lesions: A 13-year cohort study. Van Loon P, Kuhn S, Hofmann A, Hessmann MH, Rommens PM.GГ¤nsslen A, Pohlemann T, Paul C, Lobenhoffer P, Tscherne H.Accurate placement of a pelvic binder improves reduction of unstable fractures of the pelvic ring.

Bonner TJ, Eardley WG, Newell N, Masouros S, Matthews JJ, Gibb I, et al.

A retrospective analysis of 100 type B pelvic ring lesions according to TileвЂ™s classification. Mortality, morbidity and functional outcome after open book and lateral compression lesions of the pelvic ring.

Rommens PM, Gercek E, Hansen M, Hessmann MH.

Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture.

Sharpe JP, Magnotti LJ, Gobbell WC, Huang X, Perez EA, Fabian TC, et al.

Open book pelvis, pelvic fracture, unstable pelvis, pubic symphyseal dislocation, radiograph, trauma. 10 Our patient was admitted for multiple traumatic injuries and underwent closed reduction and percutaneous fixation of posterior pelvic ring, including bilateral sacroiliac joints, and ORIF of the pubic symphysis. The most common method is open reduction and internal fixation (ORIF) although in some cases, external fixation can be sufficient to stabilize the pelvis. 9 Definitive treatment of open book dislocations are highly individualized and come secondary to controlling hemorrhagic bleeding.

7,8 Open book dislocation can be identified via plain anteroposterior pelvis radiographs. 6 In severe pelvic traumas, pelvic binders must be applied as soon as possible to reduce bleeding by realigning fracture surfaces and provide stabilization of unstable fractures. 3 Open book dislocations of the pubic symphysis are rare, representing 0.3вЂ“8.2% of all fractures, 4,5 and can lead to fatal complications through vascular, abdominal, and nervous injuries. 1,2 The mechanism is commonly a motor vehicle collision or fall from a significant height. Severe pelvic injuries, including open book dislocations, have a high mortality rate of 10.4%. The additional inlet and outlet radiographs of the pelvis after application of a pelvic binder also show an open book fracture with significant improvement of the widened pubic symphysis.

The initial radiograph of the pelvis shows an open-book pelvic fracture deformity with pubic symphyseal dislocation, left greater than right sacroiliac diastases, and fractures of the left superior and inferior pubic rami, right inferior pubic ramus, and left acetabular anterior column. He had palpable distal pulses, and grossly normal sensation and motor function to his bilateral lower extremities. The patient had multiple traumatic injuries including a deformity to the left thigh and an unstable pelvis. He required immediate blood transfusion and intubation. The patient was tachycardic and hypotensive with an initial Glascow coma scale (GCS) of 11. A 31-year-old male was brought in by paramedics status post high-speed motorcycle collision.

Pelvic binder