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)

162971 comments

  • Alfonsojer

    Alfonsojer - Wednesday, 01 January 2025

    Уборка цехов столовой пищеблока https://chistka-prom-pomeshchenij-spb.ru/

  • can i purchase generic cialis soft tabs for sale

    can i purchase generic cialis soft tabs for sale - Wednesday, 01 January 2025

    can i buy generic cialis soft tabs online buying cialis soft tabs pill cost of generic cialis soft tabs pill
    how to buy cialis soft tabs without a prescription where can i buy generic cialis soft tabs pill can i get cialis soft tabs prices
    can you buy cialis soft tabs tablets
    generic cialis soft tabs without rx where can i get cialis soft tabs online can i purchase cialis soft tabs without insurance
    how can i get cheap cialis soft tabs no prescription can you buy generic cialis soft tabs price how can i get cheap cialis soft tabs without insurance

  • rosuvastatin atc code

    rosuvastatin atc code - Wednesday, 01 January 2025

    Medicament prescribing information. Short-Term Effects.
    rosuvastatin atc code
    Best about medication. Read information now.

  • Does Red Boost Work

    Does Red Boost Work - Wednesday, 01 January 2025

    Appreciate the recommendation. Will try it out.

  • empiedehas

    empiedehas - Wednesday, 01 January 2025

    [url=https://reklamaxxx.biz/samara/]вакансии девушкам Самара[/url]


    Работа для девушек Екатеринбург

    https://reklamaxxx.biz/tula/

  • промокод 1xbet на слоты xxzerkaloxx ru

    промокод 1xbet на слоты xxzerkaloxx ru - Wednesday, 01 January 2025

    промокод 1xbet на слоты xxzerkaloxx ru

  • is the lottery defeater software legit

    is the lottery defeater software legit - Wednesday, 01 January 2025

    I believe this is one of the so much significant info for me.
    And i'm glad studying your article. But wanna statement on few
    normal issues, The web site style is perfect, the articles is in point
    of fact excellent : D. Excellent process, cheers

  • can you buy finpecia for sale

    can you buy finpecia for sale - Wednesday, 01 January 2025

    can you buy finpecia pills get generic finpecia without rx can i get cheap finpecia prices
    can you get generic finpecia without rx cost generic finpecia no prescription can i get cheap finpecia without a prescription
    how to get cheap finpecia without insurance
    can you get finpecia without prescription buying finpecia no prescription cost finpecia without dr prescription
    get cheap finpecia without rx get cheap finpecia without rx can i purchase cheap finpecia without insurance

  • abilify no prescription

    abilify no prescription - Wednesday, 01 January 2025

    Medicines information. Effects of Drug Abuse.
    abilify no prescription
    Best trends of drugs. Read now.

  • Kaiolohianowly

    Kaiolohianowly - Wednesday, 01 January 2025

    You actually said this wonderfully.
    beste curacao online casino 2022 - sofort auszahlungen free play online casino casino online registration bonus

Leave a comment

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