Internal rotation and taping of the lower extremities for closed pelvic reduction

Michael J. Gardner, Stephen Parada, M. L. Chip Routt

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

External rotation of the disrupted hemipelvis is a common deformity after pelvic ring trauma, especially in anteroposterior compression injury patterns. This displacement is associated with significant pelvic hemorrhage. Emergent closed reduction techniques are necessary to diminish the potential pelvic volume, provide temporary stability, and allow tamponade with clot formation. Circumferential pelvic antishock sheeting is effective but may be cumbersome, especially in patients with truncal obesity. In such scenarios, circumferential pelvic area sheeting does not always achieve a complete reduction. We present a technique of internal rotation and taping of the lower extremities as an alternative or supplemental pelvic closed reduction method.

Original languageEnglish (US)
Pages (from-to)361-364
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume23
Issue number5
DOIs
StatePublished - May 2009
Externally publishedYes

Keywords

  • Closed reduction
  • Foot taping
  • Pelvic fracture
  • Resuscitation
  • Thigh taping

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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