Pelvic binder

A pelvic binder is a device used to compress the pelvis in people with a pelvic fracture in an effort to stop bleeding.^[1]

Pelvic binder
Example of using a sheet and cable ties to bind a pelvis.

Uses

A pelvic binder is used to reduce haemorrhage after a pelvic fracture.^[2] It is used in the majority of patients where a ring fracture to the pelvis is suspected by paramedics or physicians.^[2] A pelvic binder is recommended for open book pelvic fractures.^[3] It might not be useful in people with lateral compression pelvic fractures.^[3]

A pelvic binder can be applied by paramedic before a patient reaches hospital, or by physicians and nurses when a patient is seen in an emergency department.^[2] It should only be used short term.^[1]

Complications

Complications of a pelvic binder can include skin ulceration if it is applied for too long.^[1] Pelvic binders may be applied incorrectly in around 50% of patients.^[2][4]

Technique

A pelvic binder should be placed over the upper femurs, specifically the greater trochanters.^[1][2] This is the best position to reduce diastasis symphysis pubis.^[5] A CT scan can be used to observe the effective placement of a pelvic binder.^[2] A bed sheet may be used as part of a pelvic binder.^[1]

A pelvic binder compresses pelvic structures.^[2] This encourages any blood in the pelvic cavity to clot, reducing any further bleeding.^[6] It also stabilises the pelvis.^[2]