Bekkenbinders

Bekkenbinders is a Dutch term that translates to "pelvic binders." These are medical devices used to stabilize the pelvis, primarily in cases of severe pelvic fractures. They are designed to apply external pressure to the pelvic ring, reducing bleeding and preventing further displacement of fractured bones.

The primary indication for a bekkenbinder is suspected or confirmed pelvic ring disruption, often resulting from high-energy trauma such as car accidents or falls from a height. In these situations, pelvic fractures can be associated with significant blood loss, making rapid stabilization crucial. Applying a bekkenbinder can help to tamponade bleeding vessels within the pelvis.

Bekkenbinders are typically applied by emergency medical personnel at the scene of an accident or in the emergency department. They are usually made of a rigid or semi-rigid material with straps that encircle the hips and are tightened to create compression. Proper placement and tensioning are important to ensure effectiveness and avoid causing further injury.

While effective in providing temporary stabilization and controlling hemorrhage, bekkenbinders are generally considered a bridge to definitive treatment. This may involve surgical intervention, such as pelvic fixation with plates and screws, once the patient is hemodynamically stable and imaging has confirmed the extent of the injury. The use of a bekkenbinder is a critical step in the management of severe pelvic trauma, aiming to improve outcomes by stabilizing the pelvis and reducing mortality from associated bleeding.