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)

166834 comments

  • Learn More

    Learn More - Saturday, 01 February 2025

    I am regular visitor, how are you everybody?
    This post posted at this web page is truly good.

  • More hints

    More hints - Saturday, 01 February 2025

    Magnificent beat ! I wish to apprentice while you
    amend your website, how can i subscribe for a blog
    web site? The account helped me a acceptable deal. I had been tiny bit acquainted of this your broadcast provided bright clear idea

  • Learn More Here

    Learn More Here - Saturday, 01 February 2025

    I’m not that much of a online reader to be honest but your blogs really nice, keep it up!
    I'll go ahead and bookmark your website to come back later.
    Cheers

  • arkada casino бонусы без депозита

    arkada casino бонусы без депозита - Saturday, 01 February 2025

    Онлайн казино с широким выбором аркадных игр | Уникальные аркадные игры только здесь | Играйте в лучшие аркады на нашем сайте | Увлекательные аркадные игры для всех | Новый уровень азарта в онлайн казино | Большие выигрыши в аркадных играх | Играйте в аркады и наслаждайтесь выигрышами | Увлекательные аркады и возможность заработать деньги | Лучшие аркадные развлечения для вас | Побеждайте в аркадных сражениях и получайте выигрыши | Попробуйте свою удачу в аркадном казино | Уникальные аркадные игры и азарт в казино | Аркадные игры и азарт для всех | Новейшие аркадные игры на ваш выбор | Аркадные развлечения для всех | Увлекательные аркады и возможность заработать деньги
    arkada casino промокод за регистрацию [url=https://slot-rating.online/]arkada вход[/url] .

  • JuniorGeava

    JuniorGeava - Saturday, 01 February 2025

    https://www.99freelas.com.br/user/nationalrankingcountertops


    Hey there! If you're on the hunt for a reliable countertop contractor, you're in luck. I recently stumbled upon a directory that lists some of the top countertop contractors across the U.S., and it’s a game-changer. Whether you're renovating your kitchen or building a new home, this list is a one-stop shop to connect with contractors who can bring your dream countertops to life.

    The best part? The directory doesn’t just throw random names at you. It provides a national ranking of contractors based on their expertise, customer feedback, and industry standing. That means you don’t have to spend hours researching, trying to figure out which contractor is best for your project. The hard work is already done for you!

    What I really like about this directory is how it also includes detailed info like the types of materials each contractor specializes in (granite, marble, quartz, etc.), their pricing structure, and whether they offer installation services. So, you can instantly see who might be a great fit for your needs.

    Plus, this directory is constantly updated. So whether you’re a DIYer looking for tips or you need a seasoned professional, you’re always getting fresh and relevant options. I highly recommend bookmarking this resource if you’re planning any countertop projects in the future. The next time you need a countertop contractor, skip the stress and head straight to this site!

  • Ricardogunty

    Ricardogunty - Saturday, 01 February 2025

    Наши массажистки посвятят Вам максимальное время и удивят профессиональными навыками. Все наши девушки овладели различными техниками массажа и готовы удовлетворить любого гостя, исполняя любую программу в нашем салоне «Оазис» Эротический массаж в Сочи

  • ebethshiya

    ebethshiya - Saturday, 01 February 2025

    [url=https://tripscan10win.top/]
    tripscan войти[/url]

    tripscan

    https://tripscan10win.top/

  • This Site

    This Site - Saturday, 01 February 2025

    Interesting blog! Is your theme custom made or did you download
    it from somewhere? A theme like yours with a few simple tweeks would really make my blog shine.
    Please let me know where you got your theme.
    Kudos

  • casino arkada промокод

    casino arkada промокод - Saturday, 01 February 2025

    Онлайн казино с широким выбором аркадных игр | Погрузитесь в мир азарта и аркадных развлечений | Аркадные игры для всех желающих | Азартные аркады и огромные выигрыши | Новый уровень азарта в онлайн казино | Большие выигрыши в аркадных играх | Погрузитесь в мир аркадных развлечений и азарта | Увлекательные аркады и возможность заработать деньги | Аркады и азарт для настоящих игроков | Побеждайте в аркадных сражениях и получайте выигрыши | Играйте в лучшие аркады и выигрывайте призы | Побеждайте в аркадных баталиях и зарабатывайте деньги | Играйте в аркадные игры и выигрывайте деньги | Увлекательные аркады и возможность заработать крупные суммы | Побеждайте в аркадах и получайте денежные призы | Увлекательные аркады и возможность заработать деньги
    arkada casino бонусы для новичков [url=https://slot-rating.online/]arkada casino актуальное зеркало[/url] .

  • Andrewcal

    Andrewcal - Saturday, 01 February 2025

    demo pg slot
    Persentase Pengembalian Pragmatic Mesin Menguntungkan dan Kepentingan Menjalankan Game Demo Pragmatic Mesin

    Permainan mesin online lebih populer, dan PG Perusahaan (Playtech Mesin) menjadi beberapa platform terbaik dengan visual menawan, fitur inovatif, dan juga Return to Player (Return to Player) yang tinggi. Akan tetapi, sebelumnya memainkan menggunakan uang sunguhan, perlu untuk menjalankan permainan versi uji Pragmatic Permainan. Mengapa? Berikut ini rinciannya.

    Apa Hal Mesin Pratinjau PG Game?
    Slot percobaan adalah tipe percobaan pada aktivitas mesin yang menggunakan kredit virtual, tidak uang nyata. Hal ini memfasilitasi pemain agar mengetahui mekanisme permainan, fungsi hadiah, dan Return to Player tanpa adanya bahaya moneter.

    Mengapa Memainkan Permainan Demo PG Permainan Perlu?
    Memahami Mekanisme Aktivitas
    Semua mesin memiliki kebijakan serta fasilitas berbeda. Mesin percobaan memudahkan kamu memahaminya tanpa adanya beban.

    Menguji Tingkat RTP
    RTP ialah persentase keuntungan teoretis dalam jangka jauh. Melalui demo, pemain mampu melihat seberapa frekuen permainan menghasilkan hasil.

    Membuat Rencana
    Permainan versi uji memungkinkan Anda untuk mengevaluasi taktik misalnya pengelolaan pertaruhan dengan tidak potensi kerugian kehilangan dana.

    Mencari Mesin Pilihan
    Pragmatic Provider menawarkan beragam tema game. Menggunakan menjalankan versi uji, pemain mampu mencari game dengan tepat pada selera Anda.

    Mencegah Kerugian Banyak
    Memainkan percobaan membantu pemain mengetahui aktivitas sebelum Anda berjudi menggunakan dana sunguhan, mengurangi bahaya kehilangan.

    Manfaat Bermain Mesin Percobaan Pragmatic Permainan
    Tanpa adanya Potensi Kerugian Keuangan: Bermain memakai kredit digital, dengan tidak stres kehilangan modal.

    Memperkuat Kepercayaan Anda: Mempraktikkan dengan percobaan menyebabkan pemain lebih siap pada saat pindah menuju aktivitas menggunakan uang sunguhan.

    Mengetahui Fitur Insentif: Pelajari cara menyebabkan fitur bonus seperti Free Spins dan Simbol Liar.

    Menghemat Waktu dan Modal: Uji beberapa slot tanpa adanya wajib menghabiskan uang.

    Rekomendasi Memainkan Game Versi Uji Playtech Permainan
    Perhatian pada fitur hadiah dan cara fungsinya.

    Perhatikan tingkat volatilitas mesin (tinggi atau rendah).

    Susun batasan durasi serta biaya meski bermain memakai kredit simulasi.

    Eksplorasi beragam tema agar menemukan favorit kamu.

Leave a comment

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