Turnbuckle cast for reduction of wide separation of symphysis pubis

Abstract

Two cases of separation of the symphysis pubis reduced by means of turnbuckles incorporated in plaster are presented. The first reduction was accomplished by means of direct compression and the second by rotary compression. Both methods offer maximum immobilization of the pelvis and constant compression with restoration of anatomic continuity and function without necessitating complete bedrest, and thereby reducing the nursing care of the patient. The latter method, in addition, results in minimal trauma to skin and soft tissues. Adequate padding of bony prominences and constant vigilance against the appearance of skin necrosis must be observed. Turnbuckle-plaster treatment provides a means of reducing wide separation of the symphysis pubis in older injuries where other methods may fail.