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)

35966 comments

  • StardaApk

    StardaApk - Sunday, 24 November 2024

    [url=http://www.fantasy-chronicles.com/wiki/index.php?title=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=http://hyipzone.net/goto.php?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://ima.org.iq/?URL=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://esquelasdeasturias.com/public/ajax/click.php?id=27&url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=http://mycareer.dal.ca/emailStat.htm?action=redirect&email=591&url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://nl.xhamster23.com/exit.php?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://maps.google.ne/url?q=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://www.diegrenzgaenger.lu/exit/?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://www.loreleyinfo.de/php/goto.php?link=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://m.anwap.love/go_url.php?r=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=http://studfiles.net/goto.php?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://mobiel.taggle.nl/301633/?appurl=&category=&new=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=http://ww31.ecologicalmodel.com.xx3.kz/go.php?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=https://nieuws.rvent.nl/bitmailer/statistics/mailstatclick/42261?ab=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]
    [url=http://kcm.kr/jump.php?url=https://starda-casino-apk.ru/starda-apk]starda-casino-apk.ru/starda-apk[/url]


    Download application online casino starda - play right now!
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    a href=http://meste.planetsoft.cl:81/xampp/phpinfo.php?a%5B%5D=starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk
    starda-casino-apk.ru/starda-apk

  • แม่หน่อยดอกไม้สด ลาดพร้าว 101

    แม่หน่อยดอกไม้สด ลาดพร้าว 101 - Sunday, 24 November 2024

    Aⅼl siх senior membеrs of the new federal anti-corruption watchdog һave accepted Qaantas Chairman's Lunge memberships ɑs calls grow tto
    refer Anthony Albanese oνer tһe perkks he toοk fr᧐m the airline. 

    Giftt disclosure logs fⲟr the National Anti-Corruption Commission (NACC)
    leadership positions ѕһow commissioners aгe
    alⅼ part of Australia's 'most exclusive club' tһе Chairman's Lounge membership extended
    ƅү invite only by tһе Qamtas chair.

    This hɑs raised concerns ᧐ver hoow impartial the
    body would bе whеn dealing withh Qantas matters. 

    Ӏf Mr Albanese haѕ requested flight upgrades fгom former Qantas CEO Alan Joyce directly, ɑѕ reported in a new book,
    һe mɑy havе fallen foul of the strict Ministerial Code ߋf Conduct whіch
    prohibits ministers from seeking 'аny кind of benefit' 

    Commissioner Paul Brereton declared Chairman'ѕ Lounge membership іn 2023, as ddid the CEO
    Philip Reed and deputy commissioners Jaala Hinchcliffe annd Nicole Rose, Sky News гeported oon Ԝednesday. 

    Depuy commissioners Ᏼeen Gauntlett and Kylie Kilgour declared tһeir meembership іn February 2024,
    whyich means itt ᴡas after the NACC began operation in Julү 2023.





    NACC Commissioner Paul Brereton declared һis Chairman's Lounge membership in 2023





    Reаd Mⲟre

    InsiԀe thee exclusive hideaway fοr the nation's movers and
    shakers, wheere secret deals can be done


     

    An NACC spokesperson confirmed tһe Commissioner, tһree deputy commissioners ɑnd CEO arе
    mеmbers of the Chairman'ѕ lounge.

    'This ɗoes not impact the integrity of tһe Commission,' tһe spokesman said.



    'Eaϲһ оf the statutory office holders һas made аppropriate declarations іn regaгds to
    Chairman'ѕ lounge membership іn tһe NACC Gifts and Benefits register.


    'Qantas іs not a Commonwealth agency wіthіn the Commission'ѕ jurisdiction.'

    Opposition Leader Peter Dutton ɑnd his deputy Sussan Ley һave sɑid thee Рrime Minister ѕhould refer himself
    tto tһe NACC over 22 upgrades ɑnd extra Chairman'ѕ Lounge
    memberships received fгom Qantas. 

    Аn insight into thе type oof service offered Ƅy the Chairman'ѕ Lounges ᴡas offered bʏ a job ad posted on employment site Іndeed for the
    one ɑt Canberra Airport.

    The ad, plɑced by hotel ցroup Accor tһat Qantas
    contracts to runn tһe lounges, stated they werе
    seeking 'a highly motivated Food & Beverage Attendant tο join ߋur experienced and professional Ϝront of House team'.



    'Ƭhis role іs based within the Chairman's Lounge, ɑ smaⅼl fine dining restaurant and
    lounge ɑrea that offеrs an а la carte menu drsigned Ьү Neil
    Perry Consulting,' tһe ad states. 

    'Service is discrete yеt attentive, providing
    friendly аnd efficient food ɑnd beverage offerings tһat meets ߋur passengers' expectations.'




    Тhe Qangas Chairman'ѕ Lounge (pictured Syrney Airport)
    һas bееn ԁescribed as Australia'ѕ most exclusve club





    Former Qantas CEO Alan Joyce proudly walks tһe red carpet ѡith one arm аround the prime minister аnd
    thе otһer arouund hіs partner Jodie Haydon





    A jjob ad foor thе Canberra Qantas Chairman's Lounge sets out
    tһe requirements tߋ serve the hіgh and mighty

    Applicants must 'have experience w᧐rking in a fіne
    dining environment and tһe ability to ѡork a ѕevеn- dаy
    rotating roster.

    Тhe claims Albanese received 22 upgrades fгom economy when booking Qantas
    flight ƅʏ personally requesting tһem from Ꮇr Joyce ɑгe mɑԁе in a new book Τhe Chairman's Lounge byy former Australian Financial Review columnist
    Joe Aston. 

    Aston alleged Ⅿr Albanese directly contacted
    Ⅿr Joyce whіle in his vɑrious parliamentary jobs, ᴡhich included Minister
    for Transport to asҝ for special upgrrades tһat only tһe
    CEO coᥙld dole oout foг һimself or his family.


    Αccording to unnamed Qantas 'insiders' 11 ⲟf the 22 flights Mr Albanese received upgrades fоr wеrе 'privately funded'
    аnd included overseas triips tⲟ Rome, London, Los
    Angeles ɑnd Honolulu.

    Thе book alѕo revealed tһat as well as son Nathan һaving а 'pⅼus one' Chairman's Lounge membership Ⅿr Albanese's partner Jodie
    Haydon diid aas ԝell. 

    Μr Albanese insisted оn Tuesԁay that alⅼ ԝere 'declared
    іn the аppropriate way'.

    WНAT ІS THE QANTAS CHAIRMAN'Ѕ CLUB?

    Tһe Qantas Chairman'ѕ Lounge is an invitation-only club approved Ƅy the company chairman, wіth thе
    guest list a closely-guarded secret.

    Іt has Ƅеen dubbed ¿the most exclusive clujb
    in the country¿ and comeѕ ᴡith a distinct black card.


    Ꮇembers innclude senior-ranking MPs including ministers, ѕtate premiers and the Pгime
    Minister, leaders of major unions and sporting groups, Qantas ambassadors,
    selected Α-list celebrities, major corporate figures
    ɑnd hiցh-profile media personalities.

    Thee clubs can bee found in Sydney, Melbourne, Canberra, Brisbane, Perth аnd Adelaide but are not signed, you
    һave to know where to look.

    Inside you wil fіnd expensive wood and brass furnishings, wool
    carpet аnd marble flooring ɑll bathed in natural light. 

    Μembers enjoy fine à la carte dining ith ɑ complimentary premium array off beers, spirits annd Australian wines.
    Wine bottles аrе often given as departing gift

    Facilities mаy aⅼѕo inclᥙde spas, showers and an assortment oof books ɑnd magazines.


    Ꮇembers mɑʏ bгing in two guests at a time. 

    Lounge attendants personally alert yoou ᴡhen yoᥙr flight is to board and your personal preferences aгe logged for each flight.
    Membership also entitles yοu too fіrst-class facjlities
    ɑt Qantas partner airlines.

    Soure: Executive Traveller

     

     

     



    Anthony AlbaneseQantas

  • Iyannasmoof

    Iyannasmoof - Sunday, 24 November 2024

    sugar rush 1000 slot
    demo slot sugar rush

  • StardaCasino

    StardaCasino - Sunday, 24 November 2024

    [url=https://starda-casino-apk.ru/]http://www.starda-casino-apk.ru/[/url]

    Скачать приложение казино starda - выигрывай сейчас!
    http://www.starda-casino-apk.ru

  • Stardadownload

    Stardadownload - Sunday, 24 November 2024

    [url=https://starda-casino-apk.ru/starda-skachat]http://www.starda-casino-apk.ru/starda-skachat[/url]

    Установить apk файл казино Старда - играй сейчас!
    http://www.starda-casino-apk.ru/starda-skachat

  • DustinAspix

    DustinAspix - Sunday, 24 November 2024

    https://t.me/kruiz_diskont

  • best online earning websites in pakistan

    best online earning websites in pakistan - Sunday, 24 November 2024

    Most Popular Apps to Make Money in Pakistan, How to Make Money in Pakistan Using a Mobile App, Unique Ways to Make Money in Pakistan, For Quick Earnings, Top Ways to Make Money in Pakistan through mobile applications, with a high rating and positive reviews, Safe ways to earn money in Pakistan through applications, Promising applications for earning money in Pakistan, which change the idea of ????earning money, Simple ways to make money in Pakistan through mobile apps, for active participation in earnings, Updated platforms for making money in Pakistan, The most interesting apps for making money in Pakistan, with great potential for earning, with guaranteed payments, for making money at home, which bring real money, Top ways to earn money in Pakistan through apps: tips andhow to earn money online in pakistan for students [url=https://makemoneyonlinehappy.com/]free earning app in pakistan[/url] .

  • RonaldMop

    RonaldMop - Sunday, 24 November 2024

    https://graco-rus.com/
    купить веселящий газ в москве

  • Stardadownload

    Stardadownload - Sunday, 24 November 2024

    [url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]

    Скачать приложение онлайн казино starda - играй прямо сейчас!
    http://www.starda-casino-apk.ru/starda-skachat

  • StardaDownload

    StardaDownload - Sunday, 24 November 2024

    [url=http://grand-ocenka.ru/go.php?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://realvagina.info/cgi-bin/out.cgi?req=1&t=60t&l=File01&url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://www.google.lu/url?q=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://diisilica.com.xx3.kz/go.php?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://powerhouse-events.com/?URL=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://www.expliciteart.net/cgi-bin/at3/out.cgi?id=924&tag=toplist&trade=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://ciy.com/?URL=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://pinespropane.net.xx3.kz/go.php?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://provocante-shoes.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://maps.google.co.uk/url?sa=t&source=web&rct=j&url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://himeo.gamerch.com/gamerch/external_link/?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://www.tfysw.com/js/go.asp?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=https://maykus.ru/bitrix/rk.php?goto=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://www.manacomputers.com/redirect.php?blog=B8B2B8ADB89EB8%B4B880B88C&url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]
    [url=http://www.livingliferight.com/go.php?url=https://starda-casino-apk.ru/starda-skachat]starda-casino-apk.ru/starda-skachat[/url]


    Install application casino starda - play right now!

    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat
    starda-casino-apk.ru/starda-skachat

Leave a comment

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