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Pelvic C-Clamp.

Emergency Stabili-

zation Instrument for Unstable Injuries
and Fractures of the Pelvic Ring
(“C-type Injuries”).

Technique Guide

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Summary of Contents for Pelvic C-Clamp

Page 1: ...Pelvic C Clamp Emergency Stabili zation Instrument for Unstable Injuries and Fractures of the Pelvic Ring C type Injuries Technique Guide...

Page 2: ...s and Instruments 5 Technique Guide 6 Bibliography 15 Table of Contents Image intensi er control Warning This guide is not suf cient for an immediate application of the Pelvic C Clamp Instruction by a...

Page 3: ...elvic packing concomi tant venous bleeding can be managed thereby gaining enough time for de nitive hemmorage or arterial embolisation control The Pelvic C Clamp is comprised of rails and arms with a...

Page 4: ...lvic C Clamp in those settings can save lives Direct transverse compression of the sacroiliac joint controls bleeding from the fracture surfaces and from the presacral plexus With the Pelvic C Clamp a...

Page 5: ...ation as it bears the risk of pin perforation through the fracture line Hemodynamic stability in A type Pelvic fractures Relative contraindications are B type injuries suf cient stability provided by...

Page 6: ...ents 1 03 306 010 Pelvic C Clamp complete 1 02 306 006 Nail for Pelvic C Clamp cannulated short length 190 mm 2 02 306 007 Nail for Pelvic C Clamp cannulated long length 210 mm 2 321 200 Ratchet Wrenc...

Page 7: ...f the injured person may be unclear Should there be doubts about the anatomic references use an image intensi er during application of the Pelvic C Clamp Pre operative preparation Anteroposterior AP p...

Page 8: ...on the upper rails whilst simultaneously pulling on the side arms b Note Maximal extension of the Pelvic C Clamp is advantageous for easy and safe positioning With a light twist place the cannulated...

Page 9: ...ce aid For secure anchoring the Pelvic C Clamp must be placed at the level of the sacroiliac joints Palpation with a blunt instrument such as the Guide Handle for Kirschner Wire allows for easy identi...

Page 10: ...ter having identi ed the insertion point a Kirschner Wire can be placed through the Guide Handle only on the uninjured side Gently hammer the Kirschner Wire into the bone with the Socket Wrench with H...

Page 11: ...gth 220 mm 391 930 After inserting the Kirschner Wire on the uninjured side slide the clamp with cannulated nails over the wire and ensure that the tip of the nail grips the bone securely Then place t...

Page 12: ...ner Wire may now be cut off with the Wire Cutter or may be removed After complete application of the Pelvic C Clamp verify xation with an image intensi er or X ray pelvic AP view and pad the nails Not...

Page 13: ...in suture Continuing injury management according to polytrauma pro tocols The nail insertion sites must be meticulously disinfected and dressed Should the patient need to be moved he she should on no...

Page 14: ...er rails and pulling the two rails apart The threaded tubes can be unscrewed 8 Cleaning For cleaning the Pelvic C Clamp should be taken apart as described above Clean the rails arms and threaded tubes...

Page 15: ...14 Synthes Pelvic C Clamp Technique Guide...

Page 16: ...chirurg 99 734 743 Pohlemann T G nsslen A Hartung S 1997 Beckenverletzun gen Pelvic Injuries Ergebnisse der multizentrischen Studie der Arbeitsgruppe Becken der AO und DGU Results of a German Multicen...

Page 17: ...16 Synthes Pelvic C Clamp Technique Guide...

Page 18: ...0123 036 000 899 SE_015675 AB 31060021 Synthes 2006 Subject to modi cations Presented by...

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