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)

34326 comments

  • Ukrlib.com.ua

    Ukrlib.com.ua - Saturday, 09 March 2024

    Компанія Apple також не несе відповідальність за точність або достовірність
    даних, розміщених на веб-сайтах
    сторонніх виробників.

  • GSA Search engine ranker

    GSA Search engine ranker - Saturday, 09 March 2024

    Try too space it out so your links don’t get deleted or anything
    like that.

  • Взломанная Scribblenauts Remix Мод Меню

    Взломанная Scribblenauts Remix Мод Меню - Saturday, 09 March 2024

    Что же вы найдете по ссылке - Взломанная Scribblenauts Remix Мод Меню

    Описание игры:

    Представляем вашему вниманию Scribblenauts Remix на Андроид от нового коллектива.
    Главные параметры:
    1. Размер незанятой памяти телефона - 116 MB, освободите память от старых игр, файлов или программ для полного запуска.
    2. Операционная система - Android 5+, советуем определить параметры вашего телефона ведь, из-за несоответствия требованиям, будут проблемы с установкой.
    3. Популярность - по состоянию на сегодня она составляет 33291715, о крутости приложения четко говорит количество загрузок, внесите свой вклад в популярность.
    4. Дата обновления - на странице добавлена версия приложения от 20.12.23 - загрузите приложение, если вы установили устаревшую версию.
    Программа реализует свою главную функцию, содействует вам в решеннии поставленных задач и оптимизирует ваше время. Главное несходство Scribblenauts Remix - Полная версия - открытые возможности, которые облегчат программный процесс, а вам не нужно мучаться с рекламой. Что касается графической оболочки, то все на замечательном уровне, точно так же, как и звуковое сопровождение. Вам выбирать - использовать стандартную версию или установить МОД. Не забывайте открывать наш сайт для обновления крутых приложений.

    Доступная ссылка:

    http://galaxy-gamers.ru/2231-skachat-vzlomannuyu-scribblenauts-remix-mod-mnogo-deneg-na-android.html

    Рекомендуемые сайты:

    [url=http://xn--2q1br1ncwfi8ehndfwen4m8sj.com/bbs/board.php?bo_table=sub502&wr_id=82518]Зомби : Mad Zombies[/url] [url=http://alphaouest.ca/index.php?option=com_k2&view=item&id=1]Скачать Smile Inc. MOD разблокировано - Лучший выбор для игры![/url] [url=http://moneymattersadvice.com/2023/05/24/hello-world/#comment-7392]Скачать Injustice: Gods Among Us на Андроид - Невероятный взломы игры![/url] 2c2da11

  • Https://Videos.Camtubechat.App/Dating-Older-Woman/Jules-Jordan-Adria-Rae-Gapes-Her-Ass-For-Dredd.Php

    Https://Videos.Camtubechat.App/Dating-Older-Woman/Jules-Jordan-Adria-Rae-Gapes-Her-Ass-For-Dredd.Php - Friday, 08 March 2024

    Mehran seems to have adapted well to her new role.

  • gameone娛樂體育

    gameone娛樂體育 - Friday, 08 March 2024

    I am actually thankful to the holder of this site who has shared this fantastic piece
    of writing at here.

  • https://webaspire.site/

    https://webaspire.site/ - Friday, 08 March 2024

    Hi my family member! I want to say that this post is awesome, great written and
    include almost all significant infos. I would like
    to peer more posts like this .

  • Williameluse

    Williameluse - Friday, 08 March 2024

    6. "Navigate Streets with Ease: Our reverse street directory simplifies navigation by providing detailed maps and addresses. Say goodbye to getting lost – find your way effortlessly." https://storyweaver.org.in/en/users/904340


    7. "Find Your Next Destination: Explore our street address directory to locate businesses, landmarks, and residential addresses with ease. Navigate any city like a local!" https://www.clickasnap.com/profile/homemetry


    8. "Your Gateway to Property Information: Dive into our comprehensive property directory to find listings, prices, and neighborhood insights. Your next real estate venture starts here." https://hiqy.in/homemetry


    9. "Uncover Property Details: With our real estate directory, access a wealth of information on properties, including amenities, pricing, and contact details. Your perfect home is just a click away." https://gifyu.com/homemetry


    10. "Navigate Any Neighborhood: Our reverse address directory empowers you to explore neighborhoods in-depth. From property values to nearby amenities, make informed decisions effortlessly." https://careercup.com/user?id=5935925148778496

  • Wileyzooke

    Wileyzooke - Friday, 08 March 2024

    1. "Find Your Dream Home: Explore a vast property directory with our online service. Whether you're searching for a cozy apartment or a spacious villa, we've got you covered!" https://satori.lv/profile/mike-sainz


    2. "Navigate the Real Estate Market: Our real estate directory offers comprehensive listings of properties for sale or rent in your desired location. Start your journey to finding the perfect home today." https://stocktwits.com/homemetry


    3. "Discover Hidden Gems: With our reverse address directory, uncover valuable information about properties in any neighborhood. From ownership details to property history, make informed decisions effortlessly." https://careercup.com/user?id=5935925148778496


    4. "Locate Any Address in Iowa: Our specialized reverse address lookup service for Iowa allows you to pinpoint exact locations and gather crucial details instantly. Never lose track of an address again!" https://hangoutshelp.net/user/homemetry


    5. "Unlock Property Insights: Explore our reverse directory tailored for real estate professionals. Access essential data on properties, owners, and market trends to stay ahead in the competitive market." https://storyweaver.org.in/en/users/904340

  • https://techjubilee.site/

    https://techjubilee.site/ - Friday, 08 March 2024

    Hi there, You have done an incredible job. I will definitely digg
    it and personally suggest to my friends. I am confident they'll be benefited from this site.

  • Renato

    Renato - Friday, 08 March 2024

    I am constantly searching for new facts upon thgis kind
    of essential issue, and am specifically happy when ever I find websites that happen to be well-written and well-researched.
    Thanks for offering this good information, and i also take a look ahead
    to learning much more right from our blog page in the long term.

Leave a comment

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