Effect of a new pelvic stabilizer (T-POD®) on reduction of pelvic volume and haemodynamic stability in unstable pelvic fractures

Injury. 2010 Dec;41(12):1239-43. doi: 10.1016/j.injury.2010.03.013.


Background: Pelvic fractures, often the result of high energy blunt trauma, are associated with severe morbidity and mortality. A new pelvic stabilizer (T-POD®) provides secure and effective simultaneous circumferential compression of the pelvis.

Methods: In this study we describe 15 patients with a prehospital untreated unstable pelvic fracture with signs of hypovolaemic shock with the T-POD®. Before and 2 min after applying the T-POD®, heart rate and blood pressure were measured. An X-ray before and directly after applying the T-POD® was made to measure the effect on reduction in symphyseal diastasis.

Results: Application of the T-POD® reduced the symphyseal diastasis with 60% (p = 0.01). The mean arterial pressure (MAP) increased significant from 65.3 to 81.2 mm Hg (p = 0.03) and the heart rate declined from 107 beats per minute to 94 (p = 0.02). Out of ten patients in whom the circulatory response before and after the T-POD® was recorded, seven were good responders, one had a transient response and two responded poor.

Conclusion: In the acute setting, the T-POD® device has a clear compressive effect on the pelvic volume in unstable pelvic fractures. The T-POD® is therefore an effective and easy to use device in (temporarily) stabilizing the pelvic ring in haemodynamically unstable patients.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Fracture Fixation / methods*
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Fractures, Compression / diagnostic imaging
  • Fractures, Compression / surgery*
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Multiple Trauma / surgery
  • Orthotic Devices / standards*
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / injuries
  • Pelvic Bones / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Nonpenetrating / surgery
  • Young Adult