6
Postoperative management
– AP plain radiograph, CT if required, rarely oblique
view films after application of pelvic C-clamp and
during follow-up
– Do not use the pelvic C-clamp to lift the patient.
– Wound closure; extended incisions may require a
coapting skin suture
– Continuing injury management according to
polytrauma protocols
– The nail insertion sites must be meticulously
disinfected and dressed
– Should the patient need to be moved, he/she should
on no account be placed on his/her side as this could cause
one of the nails to penetrate the bone excessively
7
Removal
The pelvic C-clamp is removed before definitive treatment
of the posterior pelvic ring injury. Be sure to remove the
protective caps from the cannulated nails and Kirschner
wire from the uninjured side.
Postoperative Management and Removal
12 DePuy Synthes Pelvic C-Clamp II Surgical Technique