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)

162276 comments

  • AtlFlook

    AtlFlook - Friday, 25 October 2024

    the best dealDon't let your age control your sex life. Visit [url=https://allamericapharmacy.com/]what pharmacy sells azithromycin[/url] . Put ED a stop!
    This is called intrathecal chemotherapy.
    https://allamericapharmacy.com/

  • AtlFlook

    AtlFlook - Friday, 25 October 2024

    No driving and getting a [url=https://allamericapharmacy.com/]buy oxycodone mexican pharmacy[/url] at lower prices
    A person recovering from mycoplasma pneumonia may be weak for an extended period of time.
    https://allamericapharmacy.com/

  • Vulkan Platinum

    Vulkan Platinum - Friday, 25 October 2024

    This is a topic that's near to my heart... Best wishes!
    Where are your contact details though?

  • atepeahag

    atepeahag - Friday, 25 October 2024

    [url=https://exhub-io.com/]
    обменять криптовалюту[/url]


    обмен криптовалюты

    https://exhub-io.com/

  • JuniorGeava

    JuniorGeava - Friday, 25 October 2024

    https://andrestofa968.mystrikingly.com/


    Hey all!

    I’ve been cooking a lot with Ceylon cinnamon lately, and it’s been such a great addition to my recipes.

    It’s much lighter and more aromatic than Cassia cinnamon, and I find it works really well in both sweet and savory dishes. I made a Ceylon cinnamon-spiced roasted sweet potato dish for dinner, and the cinnamon’s delicate sweetness paired perfectly with the savory flavors.

    I’ve also been adding it to smoothies and baked goods like Ceylon cinnamon muffins—it gives them a lovely warm flavor without overpowering the other ingredients.

    If you’re looking for something a little more refined than regular cinnamon, I highly recommend trying Ceylon cinnamon in your recipes.

    Anyone else here experimenting with it?

    Would love to hear how you’re using it!

  • JuniorGeava

    JuniorGeava - Friday, 25 October 2024

    https://jsbin.com/bagofiyabi


    Hi everyone! I’ve been adding Curry Powder to more of my recipes lately, and it’s been amazing add-on.

    The best part is how easy it is to incorporate into so many different dishes.

    I’ve used it in traditional curries, of course, but also in things like roasted potatoes, scrambled eggs, and even homemade salad dressings.

    It adds a warm, savory kick that’s not too spicy but super flavorful.

    Plus, the health benefits of the spices in Curry Powder are a big bonus. Ingredients like turmeric and ginger are known for their anti-inflammatory properties, which is a great added benefit when I’m trying to eat healthier. Anyone else love Curry Powder?

    How do you use it in your cooking?

  • vavada

    vavada - Friday, 25 October 2024

    I enjoy, result in I found just what I used to be looking for.
    You've ended my 4 day lengthy hunt! God Bless you man. Have a nice day.
    Bye

  • buy casino backlinks cheap

    buy casino backlinks cheap - Friday, 25 October 2024

    I have been exploring for a little bit for any
    high quality articles or blog posts in this sort of area .
    Exploring in Yahoo I eventually stumbled upon this website.
    Reading this information So i'm glad to show that I've a very good uncanny feeling I discovered exactly what I needed.
    I so much without a doubt will make sure to do not forget this
    website and provides it a look on a continuing basis.

  •  займы Казахстан

    займы Казахстан - Friday, 25 October 2024

    Мы уверены, что каждый наш клиент заслуживает лучших условий кредитования, и мы делаем все возможное, чтобы предоставить именно такие условия. Обращаясь к нам, вы можете быть уверены, что получите микрозайм, который полностью удовлетворит ваши потребности.


    микрозаймы онлайн [url=https://microloans.kz/]микро займы[/url] .

  • RobertRib

    RobertRib - Friday, 25 October 2024

    izi cash

Leave a comment

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