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)

36031 comments

  • Wileyzooke

    Wileyzooke - Monday, 11 March 2024

    Elevate Your Game with the Best Online Poker Strategies and Tips. Whether you're a beginner or a seasoned pro, our expert insights will help you outsmart your opponents and increase your winning chances. https://www.emoneyspace.com/santacruzsentinel


    Join the Best Real Money Poker Sites and Turn Your Skills into Cash! With our selection of top-tier poker rooms, enjoy safe and exciting play that rewards real skill with real money. Are you ready to claim your seat at the table? https://www.emoneyspace.com/santacruzsentinel


    Discover the Best Poker Sites for Unmatched Online Play. Experience the thrill of live casino poker and high-stakes tournaments online. Our curated list of sites offers the finest in game variety, security, and player rewards. https://www.openhumans.org/member/santacruzsentinel/


    Play Free Online Video Poker and Hone Your Skills! Perfect your strategy and enjoy hours of fun with our free video poker games. It's the ideal way to practice before you dive into real money action. https://wallhaven.cc/user/santacruzsentinel


    Experience the Excitement of Online Texas Holdem for Real Money. Join tables of all stakes and compete against players from around the globe. With real money on the line, every game is an adventure waiting to happen. https://www.bitsdujour.com/profiles/ADHUrn

  • Mildredwer

    Mildredwer - Monday, 11 March 2024

    Здрасте
    Приятно найти единомыщленников
    И вот это тоже по теме

    1xbet Зеркало Рабочее на Сегодня: Где Найти

    [url=https://www.youtube.com/watch?v=QTGP188GFOY]1XBET PROMO CODE Bangladesh 500xbet how to use promo code for registration how to install[/url]
    [url=https://www.youtube.com/watch?v=sMB6jYx8K0A]How to use 1XBET PROMO CODE for registration 500xbet how to register account create Sinhala[/url]
    [url=https://www.youtube.com/watch?v=sXk4mz4s5wA]1XBET PROMO CODE Pakistan 500xbet how to use promo code for registration complete new register[/url]
    [url=https://www.youtube.com/watch?v=ozIccQYrqkI]ПРОМОКОД 1XBET при регистрации 500xbet Россия на 2024 bonus code russia review на сегодня[/url]
    [url=https://www.youtube.com/watch?v=vyEO6SC27rA]Как зарегистрироваться в 1XBET на телефоне если нет 18 1ХБЕТ скачать на андроид и на смартфон айфоне[/url]
    [url=https://www.youtube.com/watch?v=5swhgjmjVZY]Как зарегистрироваться в 1xbet без паспорта полная регистрация на 1хбет в 1 клик Россия Казахстан[/url]
    [url=https://www.youtube.com/watch?v=gxlgmj-ikdE]1XBET ПРОМОКОД 500xbet 1хбет фрукты - фрут коктейль и самый большой выигрыш fruit blast[/url]
    [url=https://www.youtube.com/watch?v=r7-_AiXv0fw]ПРОМОКОД 1XBET Казахстан 2024 500xbet как скачать 1хбет на айфон регистрация Узбекистан[/url]
    [url=https://www.youtube.com/watch?v=sngoIhxta9Q]Промокод на фриспины в 1xbet 500xbet как получить фрибет в 1хбет бонус бесплатная ставка[/url]


    https://www.youtube.com/watch?v=ozIccQYrqkI
    https://www.youtube.com/watch?v=vyEO6SC27rA
    https://www.youtube.com/watch?v=5swhgjmjVZY
    https://www.youtube.com/watch?v=gxlgmj-ikdE
    https://www.youtube.com/watch?v=QTGP188GFOY
    https://www.youtube.com/watch?v=sMB6jYx8K0A
    https://www.youtube.com/watch?v=sXk4mz4s5wA
    https://www.youtube.com/watch?v=IkLl7r4PI4o
    https://www.youtube.com/watch?v=r7-_AiXv0fw
    https://www.youtube.com/watch?v=sngoIhxta9Q

  • savastan shop

    savastan shop - Monday, 11 March 2024

    https://savastan0.ws/
    bookmarked!!, I like your web site!

  • https://onlinetop.site/

    https://onlinetop.site/ - Monday, 11 March 2024

    Whats up this is kinda of off topic but I was wondering if blogs use WYSIWYG editors or if you have to
    manually code with HTML. I'm starting a blog soon but
    have no coding know-how so I wanted to get guidance
    from someone with experience. Any help would be greatly
    appreciated!

  • Скачать Тактические Монстры-Tactical Monsters Rumble Arena взлом

    Скачать Тактические Монстры-Tactical Monsters Rumble Arena взлом - Monday, 11 March 2024

    Что же вы получите по ссылке - Скачать Тактические Монстры-Tactical Monsters Rumble Arena взлом

    Описание игры:

    Попробуем разобрать Тактические Монстры-Tactical Monsters Rumble Arena на Андроид от известного автора.
    Главные параметры:
    1. Объем свободной памяти устройства - 328 MB, очистите память от ненужных игр, файлов или программ для корректного запуска.
    2. Операционная система - Android 6+, рекомендуем определить параметры вашего устройства так как, из-за несоответствия требованиям, обнаружатся ошибки при установке.
    3. Популярность - по статистике сервиса она составляет 93681083, о рейтинге приложения красноречиво указывает сумма установок, сделайте его популярнее.
    4. Дата обновления - на портале загружена версия приложения от 23.12.23 - обновите приложение, если вы запустили устаревшую версию.
    Программа выполняет свою ключевую функцию, помогает вам в решеннии поставленных задач и оптимизирует ваше время. Ключевое несходство Тактические Монстры-Tactical Monsters Rumble Arena - Без рекламы - открытые перспективы, которые улучшат программный процесс, а вам не нужно искать полную версию. Что касается картинки, то все на высоком уровне, точно так же, как и музыка. Вам решать - использовать оригинальную версию или установить МОД. Не забывайте открывать наш портал для обновления крутых приложений.

    Прямая ссылка:

    http://droider-play.ru/strategy/1291-igra-takticheskie-monstry-tactical-monsters-rumble-arena-na-android-besplatno-beskonechnye-dengi.html

    Рекомендуемые сайты:

    [url=http://excavatii-demolari.ro/component/k2/item/9/9.html]Space Frontier MOD Много Денег - Лучший выбор для игры![/url] [url=http://eydosdigital.com/en/blog/item/8-post-numero-2-en]DamonPS2 64bit - эмулятор PS2 взлом - Лучший выбор для игры![/url] [url=http://eydosdigital.com/en/blog/item/8-post-numero-2-en]Взломанная Human Flip: Игра Флип Мастер Мод Меню - Отличный выбор гемера![/url] 5fc115a

  • snaptik

    snaptik - Monday, 11 March 2024

    But these Apps may not give you the best quality of
    videos to download and also sometimes slow your system.

  • savastan cc

    savastan cc - Monday, 11 March 2024

    Hi, Neat post. There is an issue together with your web site in web explorer, would test this?
    IE still is the marketplace leader and a good
    element of other people will leave out your excellent writing because of
    this problem.

  • online medicine to buy

    online medicine to buy - Monday, 11 March 2024

    I'm truly enjoying the design and layout of your blog.
    It's a very easy on the eyes which makes it much more enjoyable
    for me to come here and visit more often. Did you hire out a designer to
    create your theme? Excellent work!

  • blackpass biz

    blackpass biz - Monday, 11 March 2024

    Hi! Someone in my Facebook group shared this
    website with us so I came to look it over. I'm definitely
    loving the information. I'm book-marking and will be tweeting this
    to my followers! Excellent blog and great style and design.

  • jahtolikaz

    jahtolikaz - Monday, 11 March 2024

    [url=https://kraken9tt.com/]
    kraken ссылка зеркало официальный сайт[/url]


    рабочий кракен

    https://kraken9tt.com/

Leave a comment

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