Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?

Kuner, Valerie; van Veelen, Nicole; Studer, Stephanie; Van de Wall, Bryan; Fornaro, Jürgen; Stickel, Michael; Knobe, Matthias; Babst, Reto; Beeres, Frank J.P.; Link, Björn-Christian

doi:10.3390/jcm10061297

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Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?

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Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 Luzern, Switzerland

Medical Faculty, University of Zurich, 8091 Zurich, Switzerland

Department of Radiology, Cantonal Hospital Lucerne, 6000 Luzern, Switzerland

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Department of Emergency Care, Cantonal Hospital Lucerne, 6000 Luzern, Switzerland

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Department of Health Science and Medicine, University of Lucerne, 6002 Luzern, Switzerland

Author to whom correspondence should be addressed.

Academic Editor: Roman Pfeifer

J. Clin. Med. 2021, 10(6), 1297; https://doi.org/10.3390/jcm10061297

Received: 14 February 2021 / Revised: 9 March 2021 / Accepted: 18 March 2021 / Published: 21 March 2021

(This article belongs to the Special Issue Clinical Management and Challenges in Polytrauma)

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Abstract

Early administration of a pelvic circumferential compression device (PCCD) is recommended for suspected pelvic trauma. This study was conducted to evaluate the prevalence of PCCD in patients with pelvic fractures assigned to the resuscitation room (RR) of a Level I trauma center. Furthermore, correct application of the PCCD as well as associated injuries with potential clinical sequelae were assessed. All patients with pelvic fractures assigned to the RR of a level one trauma center between 2016 and 2017 were evaluated retrospectively. Presence and position of the PCCD on the initial trauma scan were assessed and rated. Associated injuries with potential adverse effects on clinical outcome were analysed. Seventy-seven patients were included, of which 26 (34%) had a PCCD in place. Eighteen (23%) patients had an unstable fracture pattern of whom ten (56%) had received a PCCD. The PCCD was correctly placed in four (15%) cases, acceptable in 12 (46%) and incorrectly in ten (39%). Of all patients with pelvic fractures (n = 77, 100%) treated in the RR, only one third (n = 26, 34%) had a PCCD. In addition, 39% of PCCDs were positioned incorrectly. Of the patients with unstable pelvic fractures (n = 18, 100%), more than half either did not receive any PCCD (n = 8, 44%) or had one which was inadequately positioned (n = 2, 11 %). These results underline that preclinical and clinical education programs on PCCD indication and application should be critically reassessed. View Full-Text

Keywords: pelvic ring fracture; PCCD; position; associated injuries

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Kuner, V.; van Veelen, N.; Studer, S.; Van de Wall, B.; Fornaro, J.; Stickel, M.; Knobe, M.; Babst, R.; Beeres, F.J.P.; Link, B.-C. Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice? J. Clin. Med. 2021, 10, 1297. https://doi.org/10.3390/jcm10061297

AMA Style

Kuner V, van Veelen N, Studer S, Van de Wall B, Fornaro J, Stickel M, Knobe M, Babst R, Beeres FJP, Link B-C. Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice? Journal of Clinical Medicine. 2021; 10(6):1297. https://doi.org/10.3390/jcm10061297

Chicago/Turabian Style

Kuner, Valerie, Nicole van Veelen, Stephanie Studer, Bryan Van de Wall, Jürgen Fornaro, Michael Stickel, Matthias Knobe, Reto Babst, Frank J.P. Beeres, and Björn-Christian Link. 2021. "Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?" Journal of Clinical Medicine 10, no. 6: 1297. https://doi.org/10.3390/jcm10061297

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