Emergent Management of Pelvic Ring Fractures with Use of Circumferential Compression by Michael Bottlang, James C. Krieg, Marcus Mohr, Tamara S. Simpson,

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Presentation transcript:

Emergent Management of Pelvic Ring Fractures with Use of Circumferential Compression by Michael Bottlang, James C. Krieg, Marcus Mohr, Tamara S. Simpson, and Steven M. Madey J Bone Joint Surg Am Volume 84(suppl 2):S43-S47 November 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Open-book pelvic fracture models. a, Unilateral partially stable Young-Burgess type-II anteroposterior compression fracture. b, Unilateral unstable Young-Burgess type-III anteroposterior compression fracture. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Application of the pelvic sling with sling tension (Ft) at transverse levels I, II, and III, extending from the symphysis pubis to the iliac crest. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

a, Stability assessment of open-book fractures. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Sling tension required to achieve complete reduction of the diastasis of the symphysis pubis associated with Young-Burgess type-II and III anteroposterior compression fractures, shown for three distinct levels of application of the pelvic sling. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Young-Burgess type-III anteroposterior compression fracture before and after application of the pelvic sling at level I, demonstrated for one cadaveric specimen. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Rotational instability of a Young-Burgess type-III anteroposterior compression fracture before and after stabilization with a pelvic sling, a C-clamp, and an external fixator. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Pelvic ring collapse of a Young-Burgess type-II lateral compression fracture in terms of pelvic inlet area decrease (ΔAI) and internal rotation (αR) at the time of fracture, after passive relaxation, and after pelvic sling application. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Pelvic sling prototype for clinical trial use. Michael Bottlang et al. J Bone Joint Surg Am 2002;84:S43- S47 ©2002 by The Journal of Bone and Joint Surgery, Inc.