Clampe de Ganz no tratamento de urgência em lesões do anel pélvico * Ganz clamps to treat emergencies in pelvic ring lesions

Objective: To evaluate the effectiveness of Ganz clamp to stabilize and reduce pelvic dislocations in emergency situations, and to assess possible difficult and easy aspects of the method. Method: Ganz clamp was used in the emergency treatment of 31 patients with severe lesions of the pelvic ring (Tile C) associated to major hemodynamic instability. Results: Among the patients, 27 (87.1%) presented a favorable evolution, with stabilization, reduction of dislocations, and compression of the posterior portion of the ring, and also hemodynamic stabilization, and 4 (12.9%) died. Conclusion: The Ganz clamp was found to be an effective tool in the emergency treatment of pelvic ring lesions because it has an uncomplicated conception, allowing for a fast placement, because it does not prevent nor make it difficult for abdominal procedures, and most of all because it allows for the stabilization of the pelvis, RESUMO Objetivo: Avaliar a eficiencia do clampe de Ganz na estabilizacao e reducao dos deslocamentos da pelve, quando utilizado no tratamento de urgencia, alem de aquilatar eventuais dificuldades e facilidades do metodo. Metodos: O clampe de Ganz foi utilizado no tratamento de urgencia em 31 pacientes com graves lesoes do anel pelvico (Tile C) associadas a importante instabilidade hemodinâmica. Resultado: Entre os pacientes, 27 (87,1%) apresentaram evolucao favoravel, com estabilizacao, reducao dos deslocamentos e compressao da regiao posterior do anel, alem de estabilizacao hemodinâmica,