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)

36877 comments

  • Mazruuz

    Mazruuz - Thursday, 21 November 2024

    Реально ли приобрести диплом стоматолога? Основные шаги

  • real online earning app in pakistan

    real online earning app in pakistan - Thursday, 21 November 2024

    Best Apps to Make Money in Pakistan, To Start Making Money, For Anyone Who Wants to Make Money, For Quick Earnings, For Beginners and Professionals, for quick earnings of additional funds, which you need to know, with a guarantee of payments, with new opportunities for earning money, to increase financial flow, Effective strategies for making money in Pakistan through apps, which bring a stable income, How to make money in Pakistan using mobile apps: simple and profitable, Easy ways to make money in Pakistan through apps, Unique ways to make money in Pakistan through apps, which will help you achieve financial stability, New platforms for earning money in Pakistan, Interesting apps for earning money in Pakistan: choose the besthow to earn money online in pakistan without investment [url=https://makemoneyonlinehappy.com/]how to earn money online in pakistan without investment[/url] .

  • DavidUnemn

    DavidUnemn - Thursday, 21 November 2024

    Цель каждого специалиста нашей команды – забота о ментальном здоровье людей через предоставление как можно более доступной и качественной медицинской помощи, а также через психопросветительскую деятельность и дестигматизацию ментальных расстройств https://maps.google.me/url?q=https://empathycenter.ru

  • PatrickNix

    PatrickNix - Thursday, 21 November 2024

    В неожиданном повороте событий мемкоины вытеснили биткоин из топа самых обсуждаемых криптоактивов в социальных сетях. По данным аналитической платформы Santiment, такие токены как PNUT, PEPE и DOGE заняли лидирующие позиции, оттеснив первую криптовалюту на седьмое место по популярности мем токен хинкале

  • real money earning apps in pakistan

    real money earning apps in pakistan - Wednesday, 20 November 2024

    Top Apps to Make Money in Pakistan, How to Make Money in Pakistan Using a Mobile App, Unique Ways to Make Money in Pakistan, Effective Ways to Make Money in Pakistan Through Apps, For Beginners and Professionals, with a high rating and positive reviews, which you need to know, with a guarantee of payments, which change the idea of ????earning money, which few people know about, Effective strategies for making money in Pakistan through apps, with minimal effort and maximum return, to increase income, with great potential for earning, for making money without investment, for making money at home, Legal ways to earn money in Pakistan through apps, Top ways to earn money in Pakistan through apps: tips andreal online earning app in pakistan [url=https://makemoneyonlinehappy.com/]best online earning app in pakistan[/url] .

  • обменник для криптовалюты

    обменник для криптовалюты - Wednesday, 20 November 2024

    Great delivery. Sound arguments. Keep up the amazing work.

  • real earning apps in pakistan

    real earning apps in pakistan - Wednesday, 20 November 2024

    Best Apps to Make Money in Pakistan, Simple Ways to Make Money in Pakistan Through an App, Unique Ways to Make Money in Pakistan, Ideal Options for Making Money in Pakistan, Top Ways to Make Money in Pakistan through mobile applications, for quick earnings of additional funds, which you need to know, Promising applications for earning money in Pakistan, which change the idea of ????earning money, to increase financial flow, Effective strategies for making money in Pakistan through apps, to increase financial well-being, The most interesting apps for making money in Pakistan, which will lead to financial independence, Effective apps for making money in Pakistan: check it out yourself, which will help you achieve financial stability, for beginners and experienced users, to improve financial situationreal online earning app in pakistan [url=https://makemoneyonlinehappy.com/]best online earning app in pakistan[/url] .

  • DustinAspix

    DustinAspix - Wednesday, 20 November 2024

    https://t.me/kruiz_diskont

  • RonaldMop

    RonaldMop - Wednesday, 20 November 2024

    https://gazinfo.net/
    где купить веселящий газ

  • how to earn money online in pakistan without investment

    how to earn money online in pakistan without investment - Wednesday, 20 November 2024

    Most Popular Apps to Make Money in Pakistan, Easy Money Making in Pakistan Through Apps, For Anyone Who Wants to Make Money, Optimal Apps to Make Money in Pakistan, Top Ways to Make Money in Pakistan through mobile applications, Earning money in Pakistan using applications: is it real?, Safe ways to earn money in Pakistan through applications, Innovative platforms for earning money in Pakistan, Convenient ways to make passive income in Pakistan, Simple ways to make money in Pakistan through mobile apps, Accurate methods of making money in Pakistan, which bring a stable income, which are worth trying, Easy ways to make money in Pakistan through apps, with guaranteed payments, Popular apps for making money in Pakistan: choose the best, which bring real money, which will open up new opportunities for earning moneyhow to earn money online in pakistan without investment [url=https://makemoneyonlinehappy.com/]how to earn money online in pakistan without investment[/url] .

Leave a comment

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