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)

163972 comments

  • clomid breast cancer survivors

    clomid breast cancer survivors - Thursday, 16 January 2025

    Despite the diversity of agents capable of causing phospholipidosis, these agents share a common chemical feature; they are all cationic amphipathic molecules clomid for women

  • clomid follicle growth rate

    clomid follicle growth rate - Thursday, 16 January 2025

    buy clomid privately apcalis ciprofloxacina para la sinusitis Гў

  • LlprFlook

    LlprFlook - Thursday, 16 January 2025

    Any time you need a beneficial treatment option, you should [url=https://zantac100.com/ ]what is zantac for[/url] and fast delivery every time you buy here

  • buying trimox tablets

    buying trimox tablets - Thursday, 16 January 2025

    where can i get trimox without rx

  • SyjjFlook

    SyjjFlook - Thursday, 16 January 2025

    Do foreign countries offer [url=https://mesalamine200.com/ ]mesalamine brand[/url] once you have evaluated price options

  • RonaldJarce

    RonaldJarce - Thursday, 16 January 2025

    Дома из бревна вообще выглядят очень круто! Я лично давно мечтаю о чем-то подобном, но, к сожалению, пока что даже участка под такой дом у меня нет https://ru.gorodwiki.ru/peterburg/izba-776157-otzyvy

  • SyjjFlook

    SyjjFlook - Thursday, 16 January 2025

    Pay better prices to [url=https://mesalamine200.com/ ]mesalamine 500 mg[/url] at low prices

  • clomid pct dosing

    clomid pct dosing - Thursday, 16 January 2025

    It is worth noting that more recent studies have implicated hindbrain neurons that are uniquely sensitive to aldosterone in the control of sodium appetite clomid 50 buy online If you ve decided to start exercising, for example, join a class together

  • Jerrydioni

    Jerrydioni - Thursday, 16 January 2025

    Официальный сайт [url=https://luckyjetonewins.ru]https://luckyjetonewins.ru[/url] , где вы найдете актуальное зеркало и промоды на Лаки Джет.

  • clomid o serophene

    clomid o serophene - Thursday, 16 January 2025

    can you buy clomid without a prescription Over the past decades, significant advances have been made in the therapies and prevention of HF 5

Leave a comment

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