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)

165633 comments

  • JuniorGeava

    JuniorGeava - Wednesday, 16 October 2024

    https://anotepad.com/notes/hdeijhcm


    Hola a todos!

    Queria recomendarles un articulo que encontre recientemente sobre las mejores agencias de marketing digital en Chile. Si estan buscando mejorar la presencia online de su negocio o simplemente quieren conocer mas sobre las agencias que estan marcando la pauta en el pais, este post les puede ser muy util.

    Lo que mas me gusto del articulo es que no es solo una lista generica, sino que se toman el tiempo de explicar que hace destacar a cada agencia. Hablan sobre la especializacion de algunas en SEO, redes sociales o campanas de publicidad digital, y como se adaptan a las necesidades de distintos tipos de empresas, desde pymes hasta grandes corporaciones. Ademas, mencionan ejemplos de casos de exito que te permiten entender mejor como trabajan.

    A veces es complicado elegir una agencia cuando hay tantas opciones, pero este blog post te da una buena base para empezar tu busqueda con mas confianza. Tambien me parecio interesante que destacan agencias no solo en Santiago, sino en varias ciudades de Chile, lo cual es ideal si estas buscando apoyo mas cerca de tu zona.

    Si tienes una empresa que necesita mejorar su visibilidad online o estas pensando en invertir en marketing digital, este articulo te puede ahorrar bastante tiempo investigando. Personalmente, me ayudo a identificar algunas agencias que no conocia y que ahora estoy considerando para futuras campanas.

    Si les interesa el tema o estan buscando alguna recomendacion confiable, les sugiero que le den una mirada al blog. Creo que les puede servir para encontrar la opcion ideal para sus necesidades.

    Saludos y exito en sus proyectos!

  • Brettwag

    Brettwag - Wednesday, 16 October 2024

    https://deneme-bonusu-veren-siteler.org/

  • Derrickved
  • DevinVaf

    DevinVaf - Wednesday, 16 October 2024

    Dating between men and women has evolved with technology and shifting gender roles, present more opportunities but also new challenges.
    https://latinaporn.one/videos/6920/husband-took-me-to-the-masseur-and-stayed-in-the-waiting-room-what-he-didn-t-know-was-that-the-massage-had-a-happy-ending-i-gave-it-to-the-masseur-without-a-condom-part-2/

    The Digital Shift
    Online dating apps like Tinder and Bumble make connecting easier but can fancy overpowering well-earned to too myriad choices. Women take gained more switch, such as initiating conversations on Bumble, reflecting broader gender equality.

    Challenges in Dating
    Ghosting and Random Dating: Energetic exits and casual encounters are stale, best to confusion.
    Expectations: Miscommunication for everyone commitment can agency frustration.
    Distress: Societal media creates delusional expectations of declaration the perfect partner.
    Gender Stereotypes: Antique stereotypes about dating roles even so exist, complicating things.
    Keys to Healthy Relationships
    https://sweetbigboobstube.com/videos/437/the-seductive-blonde-shows-the-guy-her-fantastic-handjob-and-blowjob-skills/

    Communication: Open, honest conversations set up trust.
    Respect and Sameness: Valuing each other as equals fosters balance.
    Persistence: Taking time to build connections reduces pressure.
    Looking Vanguard
    As dating continues to evolve with technology, the fundamentals of defer to, communication, and tenacity wait compulsory in place of durable relationships.

  • Derrickved

    Derrickved - Wednesday, 16 October 2024

    [url=https://lucky-jet-casino-slots.ru]lucky-jet-casino-slots.ru[/url]

    last news about lucky jet casino
    http://www.lucky-jet-casino-slots.ru

  • Larryjeata

    Larryjeata - Wednesday, 16 October 2024

    https://funpress.ru/novosti/5173-samye-vygodnye-tarify-mts-s-internetom-dlya-vseh-ustroystv.html
    тарифы с безлимитным интернетом для смартфона

  • Jamesnub

    Jamesnub - Wednesday, 16 October 2024

    [url=http://www.exist.ru/projects.aspx?returnurl=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://pstgroup.biz/bitrix/redirect.php?goto=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://c.yam.com/msnews/IRT/r.c?https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://comoffers.tpprf.ru/bitrix/redirect.php?goto=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://alexissrpkf.designi1.com.xx3.kz/go.php?url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://x555parts.ru/bitrix/redirect.php?event1=click_to_call&event2=&event3=&goto=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://images.t.me/s/worldcasinonet.ec/url?q=j&source=web&rct=j&url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://randljewelry.com.xx3.kz/go.php?url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://www.moreshemales.com/cgi-bin/a2/out.cgi?id=24&l=top&u=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://mykerch.com/go/url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://soundtrackcollector.org/click.php?url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://zenwriting.net.xx3.kz/go.php?url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://akb02.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=http://norwayescortzone.com/go.php?to=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]
    [url=https://faltyn.blog.idnes.cz/redir.aspx?url=https://sugar-rush-casino-wiki.ru]sugar-rush-casino-wiki.ru[/url]


    last news about sugar rush casino

    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru
    sugar-rush-casino-wiki.ru

  • Sallydok

    Sallydok - Wednesday, 16 October 2024

    онлайн казино
    какое онлайн казино самое честное отзывы

  • JuniorGeava

    JuniorGeava - Wednesday, 16 October 2024

    https://www.mixcloud.com/cirdanyzzm/


    Hola a todos!

    Queria recomendarles un articulo que encontre recientemente sobre las mejores agencias de marketing digital en Chile. Si estan buscando mejorar la presencia online de su negocio o simplemente quieren conocer mas sobre las agencias que estan marcando la pauta en el pais, este post les puede ser muy util.

    Lo que mas me gusto del articulo es que no es solo una lista generica, sino que se toman el tiempo de explicar que hace destacar a cada agencia. Hablan sobre la especializacion de algunas en SEO, redes sociales o campanas de publicidad digital, y como se adaptan a las necesidades de distintos tipos de empresas, desde pymes hasta grandes corporaciones. Ademas, mencionan ejemplos de casos de exito que te permiten entender mejor como trabajan.

    A veces es complicado elegir una agencia cuando hay tantas opciones, pero este blog post te da una buena base para empezar tu busqueda con mas confianza. Tambien me parecio interesante que destacan agencias no solo en Santiago, sino en varias ciudades de Chile, lo cual es ideal si estas buscando apoyo mas cerca de tu zona.

    Si tienes una empresa que necesita mejorar su visibilidad online o estas pensando en invertir en marketing digital, este articulo te puede ahorrar bastante tiempo investigando. Personalmente, me ayudo a identificar algunas agencias que no conocia y que ahora estoy considerando para futuras campanas.

    Si les interesa el tema o estan buscando alguna recomendacion confiable, les sugiero que le den una mirada al blog. Creo que les puede servir para encontrar la opcion ideal para sus necesidades.

    Saludos y exito en sus proyectos!

  • LesterNot

    LesterNot - Wednesday, 16 October 2024

    G2 Esports https://g2-esports.antiloh.info осваивает Counter-Strike 2 принимая новые вызовы игры и адаптируя стратегии для достижения успеха на мировых турнирах.

Leave a comment

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