Pelvic binder

Pelvic Binder

A pelvic binder is a medical device used in the initial management of pelvic fractures. It is designed to provide temporary stabilization and reduce hemorrhage from bone ends, venous disruption, and arterial injury until definitive surgical management can be achieved.

History

The use of pelvic binders for the initial management of pelvic fractures was first described in the late 20th century. Prior to this, treatment options were limited and often resulted in significant morbidity and mortality.

Indications

Pelvic binders are indicated in the initial management of suspected or confirmed unstable pelvic fractures, particularly in the context of polytrauma. They are also used in the prehospital setting, often by paramedics or other emergency medical personnel, to stabilize the pelvis and reduce bleeding in patients with suspected pelvic injuries.

Mechanism of Action

The pelvic binder works by compressing the pelvis, reducing the volume of the pelvic cavity and limiting the potential space for hemorrhage. This compression also stabilizes the pelvic ring, reducing movement and further injury.

Application

The correct application of a pelvic binder is crucial to its effectiveness. It should be applied around the greater trochanters and symphysis pubis, not the waist or iliac crests. Incorrect application can result in increased injury and ineffective reduction of pelvic volume.

Complications

While pelvic binders are generally safe and effective, complications can occur. These may include skin necrosis, pressure sores, and nerve damage. It is therefore important that the binder is not left in place for longer than necessary and that the patient's skin condition is regularly monitored.

See Also

• Pelvic fracture
• Hemorrhage
• Polytrauma

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