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)

34365 comments

  • exness

    exness - Wednesday, 13 March 2024

    My spouse and I stumbled over here from a different website and thought I should check things out.
    I like what I see so now i am following you. Look forward
    to looking at your web page yet again.

  • pamtadewk

    pamtadewk - Wednesday, 13 March 2024

    [url=https://film-2024.com/]
    фильмы вышедшие в качестве 2024[/url]


    смотреть фильмы в качестве бесплатно 2024

    https://film-2024.com/

  • website

    website - Wednesday, 13 March 2024

    {Looking for a variety of products? {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site |kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market
    tor |kraken link mirror|kraken site darknet market|kraken darknet tor|kraken mirror tor|kraken platform tor} - your choice!
    {It only takes a few minutes to register on our marketplace|It only takes a few minutes of
    your time to register on our shopping portal|It only takes a few minutes to
    complete the registration process on our marketplace} and you
    will find yourself in a world of unique products and
    categories. Each user will find what he needs.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor|kraken link mirror|kraken site darknet market|kraken darknet tor|kraken mirror
    tor|kraken platform tor} presents products that are rarely found on the open Internet.

    Top up your balance conveniently - use a bank card or Bitcoin cryptocurrency.
    {Enjoy the security and innovation of our marketplace|Enjoy
    the security and cutting-edge technology of our platform|Discover the security
    and innovation of our marketplace}, where every purchase takes your online shopping experience to the next level.|Tired
    of limited choices online? {link to kraken|kraken tor|kraken darknet|kraken site
    link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site |kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor |kraken link
    mirror|kraken site darknet market|kraken darknet tor|kraken mirror tor|kraken marketplace tor} provides unique products and categories.

    {Register on our platform using only a login and password|Create an account on our platform with just a login and password|Join our platform by registering only with a login and password} -
    without email. Protect your account with Google's advanced TFA
    security system. {Pay for purchases in the way that is most convenient for you|Pay for your purchases in the way
    that is most convenient for you|Make payments for purchases in the way that
    is most convenient for you} - from your account balance or bank card.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor|kraken link mirror|kraken darknet market site|kraken darknet tor|kraken mirror tor|kraken marketplace tor}, every purchase
    becomes part of your hassle-free online experience, filled with uniqueness and reliability.|Looking for
    security when shopping online ? Kraken guarantees the security of every transaction. Register at
    {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion| kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet
    in tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet
    market tor|kraken link mirror|kraken site darknet
    market|kraken darknet tor|kraken mirror tor|kraken platform tor} and
    enjoy control over your account. {You can access the site safely using the Tor Browser or a VPN|The site is secure whether you use the Tor Browser
    or a VPN|To access the site safely, use the Tor Browser or connect via a VPN}.
    {Choose a city to pick up your purchases from almost anywhere|Choose
    almost any city convenient for you to receive your purchases|Choose a city
    to pick up your orders from a location convenient to you}.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site
    mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link

  • https://moonlitsilver.site/

    https://moonlitsilver.site/ - Wednesday, 13 March 2024

    Good day! This is my first visit to your blog!
    We are a collection of volunteers and starting a new project in a community in the same niche.
    Your blog provided us valuable information to work on. You have done
    a marvellous job!

  • https://igram.world/

    https://igram.world/ - Tuesday, 12 March 2024

    Ya, Anda dapat menggunakan metode ini untuk mengunduh video dari akun pribadi, asalkan video tersebut tidak memiliki pengaturan privasi yang menghalangi pengunduhan.

  • https://smartbeyond.site/

    https://smartbeyond.site/ - Tuesday, 12 March 2024

    Nice post. I used to be checking continuously this weblog and I am
    impressed! Extremely helpful information specifically the final section :
    ) I handle such information a lot. I used to be seeking this certain info for a long time.
    Thank you and best of luck.

  • Denisesheem

    Denisesheem - Tuesday, 12 March 2024

    Здрасте
    согласен и даже более
    И вот это тоже по теме

    Реальная альтернатива: преимущества использования зеркала 1xbet

    1XBET ПРОМОКОД - 500xbet
    1XBET ПРОМОКОД - promo4spin
    1XBET ПРОМОКОД - promo4xbet

    https://www.youtube.com/playlist?list=PLhExE4WQ6LGssFajKGTTHo4zgbv1HC6qF
    https://www.youtube.com/playlist?list=PLc7pPJOjH-y7ysRaXKeV6hLVIKO7-1-JL
    https://www.youtube.com/playlist?list=PLvojsbjFcRDkQnbY7Vn8dH8Elf0l-TEUE
    https://www.youtube.com/playlist?list=PLSiHA5YFGLVqh3dwhQWwGWkgV3f7FDSmI
    https://www.youtube.com/playlist?list=PLtgTuJWpBjnDhqv-BrXaQdKBKGY6H8qQj
    https://www.youtube.com/playlist?list=PLv5QQWJZi8_mPHTmICNdXSpyjgK1XcbgZ
    https://www.youtube.com/playlist?list=PL4hvztoOwlfZAH0ABT9DqiEvbjijxcg7J
    https://www.youtube.com/playlist?list=PLqZZLROgUINw2HXvmdG1Agre0wJ40OqRL
    https://www.youtube.com/playlist?list=PLg7UcgFrf5Lo3A8elkv_KdG3vdpJMIqcr

    [url=https://www.youtube.com/playlist?list=PLhExE4WQ6LGssFajKGTTHo4zgbv1HC6qF]Бонус обыграй 1xbet что это акция ОТЫГРАЛ БОНУС В 1 XBET Бонус обыграй 1хбет 1xgames ОТЫГРАЛ БОНУС 1X BET ПОДНЯЛ ДЕНЕГ 1X BET ПРОМОКОД[/url]
    [url=https://www.youtube.com/playlist?list=PLc7pPJOjH-y7ysRaXKeV6hLVIKO7-1-JL]1x bet с выводом денег Скачать слоты БЕСПЛАТНЫЕ на деньги 1xbet Как бесплатно получить- 70 рублей за регистрацию как их получить[/url]
    [url=https://www.youtube.com/playlist?list=PLvojsbjFcRDkQnbY7Vn8dH8Elf0l-TEUE]Как получить деньги на 1x bet бесплатно с деньгами Аккаунты Промокод в 1xbet на бесплатные деньги ХАЛЯВА В ИНТЕРНЕТЕ[/url]
    [url=https://www.youtube.com/playlist?list=PLSiHA5YFGLVqh3dwhQWwGWkgV3f7FDSmI]Бесплатный промокод 1x bet. Бесплатные деньги на 1x bet. Бонус за регистрацию Аккаунты 1x bet с деньгами бесплатно[/url]
    [url=https://www.youtube.com/playlist?list=PLtgTuJWpBjnDhqv-BrXaQdKBKGY6H8qQj]Как получить деньги на 1xbet - как получить 200$ на 1x bet. бесплатный промокод 1хбет ПРОМОКОД 1Х БЕТ КАК ПОЛУЧИТЬ БЕСПЛАТНЫЕ ДЕНЬГИ[/url]
    [url=https://www.youtube.com/playlist?list=PLv5QQWJZi8_mPHTmICNdXSpyjgK1XcbgZ]1xgames самый большой занос в истории 1xbet на слоте Wild burning Wins лучшие заносы в 1хбет 1x слоты которые дают рабочее зеркало заносы недели слот[/url]
    [url=https://www.youtube.com/playlist?list=PL4hvztoOwlfZAH0ABT9DqiEvbjijxcg7J]Угловые в Экспрессе Как заработать на угловых в футболе Ставки 1х бет (1 xbet) Миллионы на угловых Стратегия(Дырка) на Кибер Футбол 1 xbet[/url]
    [url=https://www.youtube.com/playlist?list=PLqZZLROgUINw2HXvmdG1Agre0wJ40OqRL]1XBET промокод Казахстан 1ХБЕТ при регистрации Как зарегистрироваться в 1x bet полная регистрация 1 xbet kz как зарегистрироваться за 10 секунд[/url]
    [url=https://www.youtube.com/playlist?list=PLg7UcgFrf5Lo3A8elkv_KdG3vdpJMIqcr]Промокод 1xbet KZ Бонус 200% + 30% кэшбэк - для Казахстана ссылки на сайт и на приложения ПРОМОКОД 1ХБЕТ ТВОЯ ВОЗМОЖНОСТЬ НА ВЫИГРЫШ - БОНУС[/url]

  • Denisesheem

    Denisesheem - Tuesday, 12 March 2024

    Здрасте
    со свем согласен и даже более
    Так же по теме

    1xbet зеркало на сегодня: рабочее решение прямо сейчас

    1XBET ПРОМОКОД - 500xbet
    1XBET ПРОМОКОД - promo4spin
    1XBET ПРОМОКОД - promo4xbet


    https://www.youtube.com/playlist?list=PLK2ok8NU47PpLuxiepd5HPDcx-NVlsv7F
    https://www.youtube.com/playlist?list=PLK2ok8NU47PqStOtPwctohRlVTteJnzhL
    https://www.youtube.com/playlist?list=PLK2ok8NU47PrTLkPh6-gSsURvpdi5GakH
    https://www.youtube.com/playlist?list=PLK2ok8NU47PqoCbyZV19LogiN_Zp5kWQq
    https://www.youtube.com/playlist?list=PLK2ok8NU47PphNtYecb86oLGlVjiCIEyA
    https://www.youtube.com/playlist?list=PLK2ok8NU47PrqgyAR2HGThck-Eayejzzu
    https://www.youtube.com/playlist?list=PLK2ok8NU47PrC5y8hiXisL5V76SK_mDP2
    https://www.youtube.com/playlist?list=PLK2ok8NU47PrymZLHjQmkZaGPsfXWjXsZ


    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PpLuxiepd5HPDcx-NVlsv7F]Промокод 1xbet на бесплатную ставку ко дню рождения[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PqStOtPwctohRlVTteJnzhL]Бесплатная ставка на 1xbet промокод на сегодня[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PrTLkPh6-gSsURvpdi5GakH]Промокод для 1xbet на бесплатную ставку на день[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PqoCbyZV19LogiN_Zp5kWQq]Как использовать промокод на бесплатную ставку на спорт 1xbet[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PphNtYecb86oLGlVjiCIEyA]Как получить промокод на бесплатную ставку 1xbet условия[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PrqgyAR2HGThck-Eayejzzu]Как ставить БЕСПЛАТНО на 1XBET? Бесплатная ставка 1XBET[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PrC5y8hiXisL5V76SK_mDP2]Как использовать бесплатный промокод в 1xBet[/url]
    [url=https://www.youtube.com/playlist?list=PLK2ok8NU47PrymZLHjQmkZaGPsfXWjXsZ]Как получить БЕСПЛАТНУЮ ставку на 1XBET[/url]

  • https://jubileequantum.site/

    https://jubileequantum.site/ - Tuesday, 12 March 2024

    This post is worth everyone's attention. How can I find out more?

  • slotpg99

    slotpg99 - Tuesday, 12 March 2024

    Properly, different gyms have totally different procedures and
    we’ve spoken to six standard gyms in Malaysia to find out how one
    can cancel your gym membership. On the other aspect of the spectrum,
    if you're more into the amber, sage, and woodiness angle of Baccarat and can depart the lighter nods
    à la jasmine, tea, and lemon, spring for this beloved Jo Malone
    London scent, which is the next smartest thing to visiting the Cliffs of
    Dover-full with windswept hair and salt-crusted pores and skin. Flaws
    however not dealbreakers: The one possible hair to cut up with Amber Oud Rouge is that it’s dearer than many different 540 alternatives.
    Like Baccarat Rouge 540, this perfume from extremely-clear
    brand Henry Rose has just a little little bit of something for everyone.
    I like to combine it up - sometimes within the dining room, sometimes on the kitchen banquette, sometimes in the loggia.
    It is earthy and woody and leads with the same interludes of fruits and
    florals (like jasmine and lemon) without MFK's warm murkiness
    courtesy of amber, saffron, and cedarwood. MFK's Baccarat
    Rouge 540 makes each editor I do know begin drooling,
    and this velvety scent has the identical hypnotizing effect.

    Primarily based on their high-quality elements, easy
    draw, and excellent development, Baccarat cigars are undoubtedly a premium cigar.

Leave a comment

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