Title
Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study
UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation
Publication Date
2008-07-01
Document Type
Article
Subjects
Cadaver; Equipment Design; Fracture Fixation; Fractures, Compression; Humans; Models, Biological; Orthotic Devices; Pelvic Bones; Pelvis; Tomography, X-Ray Computed
Disciplines
Orthopedics | Rehabilitation and Therapy
Abstract
OBJECTIVE: To demonstrate that a commercially available pelvic binder the trauma pelvic orthotic device (T-POD) is an effective way to provisionally stabilise anterior-posterior compression type pelvic injuries.
METHODS: Rotationally unstable pelvic injuries were created in 12 non-embalmed human cadaveric specimens. Each pelvis was then stabilised first with a standard bed sheet wrapped circumferentially around the pelvis and held in place with a clamp. After recreating the symphyseal diastasis, the pelvis was stabilised with the T-POD. Reduction of the symphyseal diastasis was assessed by comparing measurements obtained via pre- and post-stabilisation AP radiographs.
RESULTS: The mean symphyseal diastasis was reduced from 39.3mm (95% CI 30.95-47.55) to 17.4mm (95% CI -0.14 to 34.98) with the bed sheet, and to 7.1mm (95% CI -2.19 to 16.35) with the T-POD.
CONCLUSIONS: Although both a circumferential sheet and the T-POD were able to decrease symphyseal diastasis consistently, only the T-POD showed a statistically significant improvement in diastasis when compared to injury measurements. In 75% of the cadaveric specimens (9 of 12), the T-POD was able to reduce the symphysis to normal (<10mm >diastasis). Both a circumferential sheet and the T-POD are effective in provisionally stabilising Burgess and Young anterior-posterior compression II type pelvic injuries, but the T-POD is more effective in reducing symphyseal diastasis.
DOI of Published Version
10.1016/j.injury.2007.12.008
Source
Injury. 2008 Aug;39(8):903-6. Epub 2008 Jun 30. Link to article on publisher's site
Journal/Book/Conference Title
Injury
Related Resources
PubMed ID
18586248
Repository Citation
Deangelis N, Wixted JJ, Drew JM, Eskander MS, Eskander JP, French BG. (2008). Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study. Orthopedics and Physical Rehabilitation Publications. https://doi.org/10.1016/j.injury.2007.12.008. Retrieved from https://escholarship.umassmed.edu/ortho_pp/40