Pelvic Binder Radiography: A Safe Method for Assessing Pelvic Fractures
Study Overview
This clinical trial aimed to evaluate the safety and effectiveness of using a pelvic binder (PBR) to measure fracture stability in patients with lateral compression type 1 (LC1) pelvic fractures.
Key Objectives
- To assess fracture displacement.
- To evaluate patient comfort during the procedure.
- To ensure safety during the in-hospital process.
Trial Design
This was a prospective clinical trial conducted at two medical centers: a Level I trauma center and an academic hospital.
Patient Selection
We included alert adults with LC1 pelvic fractures from blunt injuries, treated within three weeks of their injury, and who could safely use a pelvic binder.
Outcomes Measured
- Primary: Fracture displacement using PBR.
- Secondary: Patient tolerance (aiming for ≥85%) and safety (no major adverse events).
- Exploratory: Pain levels, opioid use, hospital stay duration, discharge location, and correlation with other examination methods.
Results Summary
Out of 169 screened patients, 58 were eligible, and 31 participated. Key findings include:
- Average age of participants: 58.7 years.
- Fracture displacement measured at 4.3 mm with 5 kg pressure and 8.4 mm with 10 kg pressure.
- All patients tolerated the PBR procedure.
- 52% reported some pain but completed the test without any adverse events.
- Patients received an average of 40.4 mg of oral morphine equivalents within 96 hours post-PBR.
- The median hospital stay was 6 days, with no inpatient deaths.
- 45.2% of patients were discharged home.
Conclusions
The use of PBR is both feasible and safe for assessing instability in LC1 pelvic fractures.
Clinical Significance
This study highlights the practical value of PBR in clinical settings, providing a reliable method for evaluating pelvic fractures while ensuring patient safety and comfort.
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