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

Abstract EN

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.