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)

164558 comments

  • AbecFlook

    AbecFlook - Wednesday, 06 November 2024

    It is important to compare prices, weigh savings, and then [url=https://ushealthquick.com/]valacyclovir hcl online pharmacy[/url] can offer men?

  • Diplomi_yokt

    Diplomi_yokt - Wednesday, 06 November 2024

    купить диплом в зеленодольске [url=https://diplomdarom.ru/]diplomdarom.ru[/url] .

  • Diplomi_gikt

    Diplomi_gikt - Wednesday, 06 November 2024

    купить диплом пгс [url=https://man-diploms.ru/]man-diploms.ru[/url] .

  • JuniorGeava

    JuniorGeava - Wednesday, 06 November 2024

    https://rentry.co/rvzzvn9z


    Hi folks!

    Just wanted to jump in and say how much I love Cinnamon Toothpicks.

    They’re a simple and effective way to get the warm, spicy kick of cinnamon anytime.

    I’ve been using them to help cut down on snacking, especially when I’m craving something sweet.

    The cinnamon flavor is intense but not too overpowering, and I love that it’s completely natural.

    For anyone looking to enjoy the taste of cinnamon in a convenient way, Cinnamon Toothpicks are a great choice.

    Anyone here using them for the same reason?

  • ورق استیل

    ورق استیل - Wednesday, 06 November 2024

    Thank you for the good writeup. It actually used to be a enjoyment account it.
    Look advanced to more delivered agreeable from you!
    By the way, how could we communicate?

  • Irrevaeven

    Irrevaeven - Wednesday, 06 November 2024

    [url=https://asiancatalog.ru]шины для самосвалов[/url]

  • AbecFlook

    AbecFlook - Wednesday, 06 November 2024

    There are many natural products when you [url=https://ushealthquick.com/]texas state board of pharmacy tramadol[/url] at low prices from qualified pharmacies

  • Michaelpneus

    Michaelpneus - Wednesday, 06 November 2024

    Промокоды для игр https://gamepromocodes.com/dota2/epicloot скидки, бонусы и эксклюзивные предложения для геймеров. Быстро, удобно и актуально!

  • Jamesinind

    Jamesinind - Wednesday, 06 November 2024

    Надежный поставщик недорогой строительной арматуры. Качественная арматурная сталь а500с по выгодной цене с доставкой цена арматура

  • Continued

    Continued - Wednesday, 06 November 2024

    These are in fact impressive ideas in on the topic of blogging.
    You have touched some good factors here. Any way keep up wrinting.

Leave a comment

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