Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Mar 6:26:100292.
doi: 10.1016/j.tcr.2020.100292. eCollection 2020 Apr.

Potentially serious adverse effects from application of a circumferential compression device for pelvic fracture: A report of three cases

Takashi Suzuki  1 , Taketo Kurozumi  1 , Yoshinobu Watanabe  1 , Kaori Ito  2 , Taichiro Tsunoyama  2 , Tetsuya Sakamoto  3
Affiliations
Case Reports

Potentially serious adverse effects from application of a circumferential compression device for pelvic fracture: A report of three cases

Takashi Suzuki et al. Trauma Case Rep. .

Erratum in

Abstract

Pelvic circumferential compression devices (PCCDs) have gained wide acceptance in the management of patients with pelvic fracture. These devices are considered safe due to their noninvasive nature and significant hazards associated with the use of PCCDs have not been reported previously. However, we present herein the cases of three patients who received PCCD application and eventually developed major complications presumably caused by PCCDs. As a result, one patient developed surgical site infection following internal fixation and required several debridements. Another patient ended up with a walking disability. The remaining patient eventually died from exsanguination following application of the PCCD. Clinicians should be aware of the potential for deleterious effects, including bladder rupture, muscle necrosis, and vessel injuries. In particular, application for acetabular fractures and prolonged application of PCCDs should be avoided.

Keywords: Acetabular fracture; Bladder rupture; Complication; Muscle necrosis; Pelvic binder; Pelvic circumferential compression device; Pelvic fracture; Vessel injury.

PubMed Disclaimer

Conflict of interest statement

The authors declare that we have no conflict of interest in connection with this paper. All authors confirm that they have no financial and personal relationships with other people, or organizations, that could inappropriately influence this work.

Figures

Fig. 1
Fig. 1
A 63-year-old woman. A) Anteroposterior radiograph of the pelvis at the regional hospital. B) Axial CT cystogram demonstrating incarcerated bladder between the pubic symphysis. Arrow indicates a balloon of a Foley catheter.
Fig. 2
Fig. 2
A 17-year-old boy. A) Contrast-enhanced, delayed-phase CT demonstrating multiple areas of muscle necrosis over the anterior side of the pelvis. B) Reconstructed 3D-CT shows the position of the PCCD on admission. C) Reconstructed 3D-CT shows the area of muscle necrosis (brush dots). The positions of the PCCD and muscle necrosis completely overlap.
Fig. 3
Fig. 3
A 23-year-old woman. A) Anteroposterior radiograph on admission. The right quadrilateral surface is displaced medially. B) Venography of the external iliac vein shows extravasation at the closest point to the fracture edge (arrow).
See this image and copyright information in PMC

References

    1. Langford J.R., Burgess A.R., Liporace F.A., Haidukewych G.J. Pelvic fractures: part 1. Evaluation, classification, and resuscitation. J. Am. Acad. Orthop. Surg. 2013;21:448–457. - PubMed
    1. Magnone S., Coccolini F., Manfredi R. Management of hemodynamically unstable pelvic trauma: results of the first Italian consensus conference. World J. Emerg. Surg. 2014;9:18. - PMC - PubMed
    1. National Institute for Health and Care Excellence . National Clinical Guideline Centre; London: 2016. Fractures (Complex): assessment and management; pp. 140–179.
    1. Coccolini F., Stahel P.F., Montori G. Pelvic trauma: WSES classification and guidelines. World J. Emerg. Surg. 2017;12:5. - PMC - PubMed
    1. Agri F., Bourgeat M., Becce F. Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study. BMC Surg. 2017;17:104. - PMC - PubMed

Publication types