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)

139242 comments

  • mostbet_auer

    mostbet_auer - Monday, 03 March 2025

    скачать mostbet uz [url=https://www.mostbet3019.ru]https://www.mostbet3019.ru[/url] .

  • mostbet_prMr

    mostbet_prMr - Monday, 03 March 2025

    1win онлайн [url=https://1win36.com.kg/]1win онлайн[/url] .

  • mostbet_jpkt

    mostbet_jpkt - Monday, 03 March 2025

    mostbet uzbekistan [url=http://mostbet3020.ru/]http://mostbet3020.ru/[/url] .

  • mostbet_vbkt

    mostbet_vbkt - Monday, 03 March 2025

    мостбет уз [url=https://www.mostbet3020.ru]https://www.mostbet3020.ru[/url] .

  • mostbet_gkMr

    mostbet_gkMr - Monday, 03 March 2025

    вин 1 [url=http://1win36.com.kg]http://1win36.com.kg[/url] .

  • Mazrxuy

    Mazrxuy - Monday, 03 March 2025

    Привет!
    Где заказать [b]диплом[/b] специалиста?
    Мы предлагаем [b]дипломы[/b] психологов, юристов, экономистов и других профессий по приятным ценам. Цена будет зависеть от той или иной специальности, года выпуска и ВУЗа. Всегда стараемся поддерживать для клиентов адекватную политику тарифов. Важно, чтобы документы были доступными для большого количества наших граждан.
    Заказ документа, который подтверждает обучение в университете, - это грамотное решение. Просто посчитайте, сколько потребуется вложить денежных средств на оплату 5-летнего обучения, на питание, аренду жилья (если студент иногородний), на ежедневный проезд до института и другие затраты. Получается приличная сумма, намного превышающая расценки на наши документы. А ведь все эти годы можно работать, продвигаясь по карьере.
    Получаемый диплом с необходимыми печатями и подписями отвечает стандартам Министерства образования и науки Российской Федерации, никто не сумеет отличить его от оригинала - даже со специально предназначенным оборудованием. Не следует откладывать свои мечты на потом, реализуйте их с нашей помощью - отправьте простую заявку на диплом уже сегодня!
    Диплом о среднем образовании - не проблема! [url=http://п»їdiplomanc.com/]п»їdiplomanc.com/[/url]

  • mostbet_kaer

    mostbet_kaer - Monday, 03 March 2025

    mostbet uz.com [url=https://mostbet3019.ru/]https://mostbet3019.ru/[/url] .

  • mostbet_eiMr

    mostbet_eiMr - Monday, 03 March 2025

    1вин войти [url=https://www.1win36.com.kg]https://www.1win36.com.kg[/url] .

  • mostbet_quMr

    mostbet_quMr - Monday, 03 March 2025

    1win букмекер [url=http://1win36.com.kg]http://1win36.com.kg[/url] .

  • mostbet_gsMr

    mostbet_gsMr - Monday, 03 March 2025

    1win [url=1win36.com.kg]1win36.com.kg[/url] .

Leave a comment

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