Consultation Hours : 10 a.m. - 1 p.m. & 6 p.m. to 9 p.m. (Monday - Saturday)

Early Stabilization & Mobilization in unstable Pelvic Injuries

An 18 year old boy met with an unfortunate accident on the road. He was pillion-riding on a bike which was knocked down by a 4-wheeler near krishnagiri in Tamilnadu. He was immediately rushed to the Govt. Hospital at krishnagiri,initial hemodynamic stabilization was done and was shifted to a major hospital in Bangalore. On evaluation,he was found to have an unstable fracture of the pelvic ring and a closed fracture of the shaft of his right femur. He however.continued to be hemodynamicallly unstable and his Hemoglobin was hovering around 5.5g% inspite of repeated blood transfusions.at this stage,he was transfered to our hospital for angio-embolization of pelvic vessels.At CT angiogram was done here, which did not show any active bleeder. However,there was a large retro-vesical hematoma collection displacing the urinary bladder.The interventional Radiologist opined that angio-embolization was not necessary.

 

He stabilized over the next 3 days with blood transfusion.he was also put on mechanical DVT prophyaxis(Flowtron Pump). On the 4th day after admission here, CT scan was repeated. It did not show any increase in the size of the retro-vesical hematoma. He was taken up for surgery on the same day. open reduction of the symphysical diastasis was done using a Pfannensteil approach and stabilization achieved with a 4 hole plate. Open reduction and anterior double plating of right Sacroiliac joint was done. In the same sitting ORIF of fracture shaft femur was done using a locked intramedullary naill. He was in the ICU for a day,was shifted back to the ward after that.Immediate wheel chair ambulation was started on the first post-op day,along with knee bending and active quadriceps excercises.he was very comfortable with the wheelchair - bed transfer and with the mobilization excerses. He was discharged in a stable condition, 5 days after the surgery.At 6 weeks post-op, he has started walking with the help of a walker frame.

We are a comprehensive trauma team at BGS Global Hospital, Bangalore, with a solid backing of a 24/7 Emergency care & Blood bank ,Plastic Surgeon, Interventional Radiologist, Abdominal Surgeon, Neurosurgeon and Physiotherapists. Not only patients but also other major hospitals in Bangalore recognize our wholesome approach to the care of polytraumatised patients. This 18 year old stands a testimony to the trust patients and other major hospitals have placed in us.

 

References:

1.Goldstein A, Phillips T, Sclafani SJ, Scalea T, Duncan A, Goldstein j, et al.Early open reduction and interval fixation of the distrupted pelvic ring.J Trauma. 1986;26(4):325-33.

2.Barei DP, Shafer BL, Beingessner DM, Gardner MJ, Nork SE, Routt ML. The impact of open reduction interval fixation on acute pain management in unstable pelvic ring injuries. J Trauma.2010;68(4):949-53.

3.Latenser BA, Gentilello LM,Tarver AA, Thalgott JS, Batdorf JW. Improved Outcome with Early Fixation of Skeletally Unstable pelvic Fractures.J Trauma. 1991;31(1):28-31.

4.Matta JM;Tornetta P lll.Interval Fixation of Unstable Pelvic Ring Injuries.Clin Orth Rel Res 1996;329:129-140.

Thursday, 25 February 2016 11:05
Rate this item
(0 votes)

163925 comments

  • Iyannasmoof

    Iyannasmoof - Tuesday, 18 February 2025

    Казино Пинко официальный сайт
    Pinco Casino

  • zaymbezproverokCed

    zaymbezproverokCed - Tuesday, 18 February 2025

    Нужны кредит срочно? Получите мгновенный займ на дебетовую карту за мгновение. https://zaym-bez-proverok.ru/ Оформите анкету без документов и получите одобрение уже сегодня!

  • Iyannasmoof

    Iyannasmoof - Tuesday, 18 February 2025

    Казино Пинко официальный сайт
    Pinco Casino

  • Arnoldcen

    Arnoldcen - Tuesday, 18 February 2025

    Твой женский сайт https://musicbit.com.ua о стиле, здоровье и вдохновении! Узнай секреты красоты, следи за модными новинками, развивайся, читай о психологии отношений и оставайся в гармонии с собой.

  • Manuelamatt

    Manuelamatt - Tuesday, 18 February 2025

    Портал о детях https://mch.com.ua полезно для родителей! Воспитание, здоровье, развитие, обучение, досуг, игры и семейные традиции. Экспертные советы, лайфхаки и полезные материалы для гармоничного роста малыша.

  • Arnoldcen

    Arnoldcen - Tuesday, 18 February 2025

    Твой женский сайт https://musicbit.com.ua о стиле, здоровье и вдохновении! Узнай секреты красоты, следи за модными новинками, развивайся, читай о психологии отношений и оставайся в гармонии с собой.

  • JimmyBum

    JimmyBum - Tuesday, 18 February 2025

    Сайт для женщин https://ramledlightings.com будь лучшей версией себя! Читай о моде, красоте, психологии, отношениях, материнстве и женском здоровье. Найди вдохновение и полезные советы для каждого дня!

  • Farrow and Cecil the Lion

    Farrow and Cecil the Lion - Tuesday, 18 February 2025

    Do you ind if I quote a couple of your articles as long as I provide
    credt and sources bahk too your webpage? My blog is in the exact same area of interest
    as yours and my users would genuinely benefit from a
    lot oof the information you provide here. Please let me know if this
    ok wih you. Many thanks!

  • JimmyBum

    JimmyBum - Tuesday, 18 February 2025

    Сайт для женщин https://ramledlightings.com будь лучшей версией себя! Читай о моде, красоте, психологии, отношениях, материнстве и женском здоровье. Найди вдохновение и полезные советы для каждого дня!

  • Iyannasmoof

    Iyannasmoof - Tuesday, 18 February 2025

    Казино Пинко
    Pinco Casino официальный сайт

Leave a comment

Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.