Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture

Case. We present the case of a 21-year-old man who fell from a roof, sustaining a displaced sacral fracture with pelvic instability. He developed acute respiratory distress syndrome (ARDS) within 24 hours of injury. Placement of the pelvic C-clamp resulted in rapid resolution of pulmonary dysfunctio...

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Main Authors: Michael J. DeRogatis, Paul S. Issack
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/6412760
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author Michael J. DeRogatis
Paul S. Issack
author_facet Michael J. DeRogatis
Paul S. Issack
author_sort Michael J. DeRogatis
collection DOAJ
description Case. We present the case of a 21-year-old man who fell from a roof, sustaining a displaced sacral fracture with pelvic instability. He developed acute respiratory distress syndrome (ARDS) within 24 hours of injury. Placement of the pelvic C-clamp resulted in rapid resolution of pulmonary dysfunction, allowing for definitive internal fixation. Conclusion. The C-clamp is most commonly used to control hemorrhage in unstable posterior pelvic ring injuries. Our case demonstrates a rare use of the C-clamp to stabilize the posterior pelvis in a patient with an unstable sacral fracture and ARDS, to rapidly improve pulmonary function prior to definitive surgery.
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spelling doaj-art-7454e7cd20a44dacab0438d6bb5e838d2025-08-20T02:07:27ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/64127606412760Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral FractureMichael J. DeRogatis0Paul S. Issack1Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY, USADepartment of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, NY, USACase. We present the case of a 21-year-old man who fell from a roof, sustaining a displaced sacral fracture with pelvic instability. He developed acute respiratory distress syndrome (ARDS) within 24 hours of injury. Placement of the pelvic C-clamp resulted in rapid resolution of pulmonary dysfunction, allowing for definitive internal fixation. Conclusion. The C-clamp is most commonly used to control hemorrhage in unstable posterior pelvic ring injuries. Our case demonstrates a rare use of the C-clamp to stabilize the posterior pelvis in a patient with an unstable sacral fracture and ARDS, to rapidly improve pulmonary function prior to definitive surgery.http://dx.doi.org/10.1155/2018/6412760
spellingShingle Michael J. DeRogatis
Paul S. Issack
Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
Case Reports in Orthopedics
title Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
title_full Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
title_fullStr Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
title_full_unstemmed Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
title_short Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture
title_sort use of the pelvic c clamp to mitigate acute respiratory distress syndrome in a patient with an unstable sacral fracture
url http://dx.doi.org/10.1155/2018/6412760
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AT paulsissack useofthepelviccclamptomitigateacuterespiratorydistresssyndromeinapatientwithanunstablesacralfracture