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)

181907 comments

  • burkinafaso

    burkinafaso - Monday, 27 January 2025

    Pour une experience mobile premium, essayez 888starz telecharger sur iPhone. Cette application offre une navigation fluide et une compatibilite parfaite avec tous les appareils iOS. Profitez d’une grande variete de jeux, des paris sportifs en direct et de bonus exclusifs pour rendre chaque session de jeu encore plus passionnante.

  • deldiabloCasino
  • deldiabloCasino

    deldiabloCasino - Monday, 27 January 2025

    [url=https://deldiablo.directorio-de-casinos-mx.com]http://www.deldiablo.directorio-de-casinos-mx.com[/url]

    Download apk file casino del diablo - win now!
    deldiablo.directorio-de-casinos-mx.com

  • Andrewcag

    Andrewcag - Monday, 27 January 2025

    Your Supreme Objective for Exclusive In-Game Items!

    In the current quick gaming landscape, the rush of adventure and advancement is important. If you're searching for unique relics, unique device skins, tailored features, codes, assets, challenges, or handy funding options, look no further! Introducing to Items4Games, your all-in-one shop for a wide range of high-quality in-game products created to boost your gaming playtime.

    Why Items4Games Is Different

    Multiple Assortment of In-Game Resources
    We provide a extensive assortment of in-game goods, from uncommon appearances to one-of-a-kind artifacts and game access. Our catalog is customized to elevate your gameplay and submerge you in a world of infinite possibilities.

    Help for Popular Games
    Our large inventory contains well-known games like CS2, Fortnite, Valorant, Dota 2, and Call of Duty. No matter your gaming taste, we have assets that cater to the largest hits in the market.

    Enhanced Gaming Path
    With limited in-game assets, you can discover new capabilities and illustrate your personal look. From special weapon designs to strong artifacts, our items convert your gaming sessions into outstanding activities.

    Protected and Dependable Transactions

    We focus on your safety with reliable and dependable exchanges. You can buy with assurance, knowing that your information is safe at all moments.

    Reasonable Costs
    Access high-quality items without smashing the financial plan. Our cost-effective and equitable rate scheme ensures that enhancing your gaming experience is available to anybody.

    Intuitive Interface
    Our easy-to-use interface lets you to easily search and secure the items you want, preserving you hours and improving your acquisition adventure.

    What Awaits for You at Items4Games

    Find weapon designs that represent your identity, special artifacts for distinct achievements, and game tokens that unlock new features. Our resources and objectives aid you raise up smoothly, while funding assistance ensure your game funds ready for play. Enjoy further game types that bring change and depth to your gaming times.

    In conclusion, Items4Games is your best goal for enhancing your gaming adventure with exclusive in-game assets. Check out our collection today and enhance your gameplay to new extremes!

  • DominicCob

    DominicCob - Monday, 27 January 2025

    https://offthevylc.ru/


    xrtyuhgwe@news24-focus.site
    nY1eJ6uX4m

  • rosuvastatin hypothyroidism

    rosuvastatin hypothyroidism - Monday, 27 January 2025

    Drug information sheet. What side effects can this medication cause?
    rosuvastatin hypothyroidism
    Some news about medication. Read information now.

  • burkinafaso

    burkinafaso - Monday, 27 January 2025

    Les joueurs au Burkina Faso peuvent acceder gratuitement a une large selection de jeux grace a 888starz telecharger gratuitement. Que vous soyez fan de machines a sous ou de paris sportifs, cette plateforme vous permet de profiter pleinement de vos jeux favoris sans frais initiaux.

  • abethajgax

    abethajgax - Monday, 27 January 2025

    [url=https://rabota-devushkam.biz/cremea/]работа досуг девушкам Крым[/url]


    работа досуг девушкам Воронеж

    https://rabota-devushkam.biz/yalta/

  • dneyjohag

    dneyjohag - Monday, 27 January 2025

    [url=https://rabota-devushkam.biz/%d1%80%d0%b0%d0%b1%d0%be%d1%82%d0%b0-%d0%b7%d0%b0%d1%80%d1%83%d0%b1%d0%b5%d0%b6%d0%be%d0%bc/]Работа для девушек за рубежом[/url]


    работа для девушек в эскорте Ростов-на-Дону

    https://rabota-devushkam.biz/ufa/

  • KevinClupe

    KevinClupe - Monday, 27 January 2025

    Казино Водка это новое онлайн казино, основанное в 2023 году. Оно стремительно завоевало внимание даже самых искушённых игроков в России и других странах СНГ. Водка Казино предлагает своим игрокам внушительную библиотеку игровых автоматов - свыше 2000 слотов обеспечивающимися более чем 45 провайдерами игр, где каждый игрок найдет игру по душе Vodka Casino

Leave a comment

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