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)

34916 comments

  • tigrinho

    tigrinho - Thursday, 27 June 2024

    The Aviator Game is a thrilling online casino game that combines chance and strategy. With its unique gameplay,
    tigrinho demo gratis

  • JamalLic

    JamalLic - Thursday, 27 June 2024

    Найдите актуальное казино леон бк и получите бонусы и специальные предложения

  • JamalLic

    JamalLic - Thursday, 27 June 2024

    Найдите актуальное леон лайв казино и получите бонусы и специальные предложения

  • JamalLic

    JamalLic - Thursday, 27 June 2024

    Используйте леон казино зеркало скачать для получения бонусов и специальных предложений

  • PhillipDueld

    PhillipDueld - Thursday, 27 June 2024

    Hi! [url=https://stromectol3us.top/#online-pharmacy]get generic stromectol[/url] excellent website.

  • Lewislearo

    Lewislearo - Thursday, 27 June 2024

    Hey there! Do you know if they make any plugins to help with Search Engine Optimization? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good gains. If you know of any please share. Kudos!
    http://lubov-orlova.ru/she/gimnastika-i-sport.html

    старые дипломы купить
    http://seo1st.ru

    купить диплом в гуково

  • JustinMot

    JustinMot - Thursday, 27 June 2024

    Взять займ или кредит
    https://npbau.ru/poshagovoe-rukovodstvo-po-oformleniyu-bystrogo-zajma-v-internete под проценты, подав заявку на денежный микрозайм для физических лиц. Выбирайте среди 570 лучших предложений займа онлайн. Возьмите микрозайм онлайн или наличными в день обращения. Быстрый поиск и удобное сравнение условий по займам и микрокредитам в МФО.

  • Charlesgadia

    Charlesgadia - Thursday, 27 June 2024

    NGolo Kante https://ngolokante.prostoprosport-ar.com is a French footballer who plays as a defensive midfielder for the Saudi Arabian club Al-Ittihad and the French national team. His debut for the first team took place on May 18, 2012 in a match against Monaco (1:2). In the 2012/13 season, Kante became the main player for Boulogne, which played in Ligue 3.

  • Williameluse

    Williameluse - Thursday, 27 June 2024

    Affordable Medication at Your Fingertips! https://app.roll20.net/users/13460310/canadapharmacy-u

    Discover the best Canadian pharmacy for USA residents. Enjoy great discounts on a wide range of pills, tablets, and more. Visit our online store today!

    Your Trusted Canadian Pharmacy https://stocktwits.com/canadapharmacyusacom

    Looking for a reliable Canadian pharmacy in the USA? Find top-quality drugs and pills at unbeatable prices. Shop online and save more!

    Exclusive Discounts on Canada Pharmacy https://www.dermandar.com/user/canadapharmacy/

    Get amazing discounts on your favorite medications at our Canada pharmacy shop. Browse our online store for the best deals!

    Canada Pharmacy Online Shop https://www.pozible.com/profile/canadapharmacyusacom

    Experience the convenience of shopping at a Canadian pharmacy online. Access affordable medications with fast delivery to the USA.

    Save Big with Canada Pharmacy Discounts https://www.callupcontact.com/b/businessprofile/canadapharmacy/9111061

    Enjoy exclusive discounts at our Canada pharmacy store. Find all your medication needs at lower prices. Shop online now!

  • TurkHit

    TurkHit - Thursday, 27 June 2024

    Интересуетесь захватывающими историческими сюжетами? Заходите на turkhit.tv и смотрите [url=https://turkhit.tv/istoricheskie/]турецкие сериалы исторические[/url]! Здесь собраны лучшие сериалы, которые перенесут вас в прошлые эпохи. Высокое HD качество и идеальная русская озвучка сделают просмотр настоящим удовольствием.

    Каждый день на сайте появляются новые серии, что позволяет вам всегда быть в центре исторических событий. Отсутствие рекламы делает просмотр еще приятнее. Посетите turkhit.tv и наслаждайтесь историческими турецкими сериалами в любое время!

Leave a comment

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