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)

174141 comments

  • Why Did My Windshield Crack Overnight?

    Why Did My Windshield Crack Overnight? - Tuesday, 10 December 2024

    Very rapidly this web page will be famous amid all blogging and
    site-building visitors, due to it's fastidious articles or
    reviews

  • slot gacor 88

    slot gacor 88 - Tuesday, 10 December 2024

    Having read this I thought it was rather informative.

    I appreciate you spending some time and energy to put this short article together.

    I once again find myself spending way too much time
    both reading and posting comments. But so what, it was still worth it!

  • Pedrobeask

    Pedrobeask - Tuesday, 10 December 2024

    Bet with Mostbet Bangladesh https://appbetbangladesh.com enjoy live games, sports events, and casino entertainment with fast transactions and 24/7 support.

  • Pedrobeask

    Pedrobeask - Tuesday, 10 December 2024

    Bet with Mostbet Bangladesh https://appbetbangladesh.com enjoy live games, sports events, and casino entertainment with fast transactions and 24/7 support.

  • how to get fincar no prescription

    how to get fincar no prescription - Tuesday, 10 December 2024

    cost generic fincar price

  • Pedrobeask

    Pedrobeask - Tuesday, 10 December 2024

    Bet with Mostbet Bangladesh https://appbetbangladesh.com enjoy live games, sports events, and casino entertainment with fast transactions and 24/7 support.

  • Pedrobeask

    Pedrobeask - Tuesday, 10 December 2024

    Bet with Mostbet Bangladesh https://appbetbangladesh.com enjoy live games, sports events, and casino entertainment with fast transactions and 24/7 support.

  • Charlesblids

    Charlesblids - Tuesday, 10 December 2024

    Download Mostbet India https://india-club.com app for quick access to sports betting and casino games. Easy installation, user-friendly interface, and instant withdrawals.

  • Charlesblids

    Charlesblids - Tuesday, 10 December 2024

    Download Mostbet India https://india-club.com app for quick access to sports betting and casino games. Easy installation, user-friendly interface, and instant withdrawals.

  • Windshield Replacement

    Windshield Replacement - Tuesday, 10 December 2024

    Hello there! This is my first visit to your blog!
    We are a team of volunteers and starting a new initiative in a community in the same niche.

    Your blog provided us valuable information to work on. You have done a extraordinary
    job!

Leave a comment

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