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)

162304 comments

  • KevinGaw

    KevinGaw - Saturday, 05 October 2024

    [url=https://play-doghouse.ru]https://play-doghouse.ru[/url]

    last news about play doghouse
    http://play-doghouse.ru

  • Stephensak

    Stephensak - Saturday, 05 October 2024

    [url=https://saud-abdulhamidar.biz/]https://saud-abdulhamidar.biz[/url]

    last news about saud abdulhamid
    http://www.saud-abdulhamidar.biz

  • DevinVaf

    DevinVaf - Saturday, 05 October 2024

    Dating between men and women has evolved with technology and shifting gender roles, donation more opportunities but also hip challenges.
    https://latinaporn.one/categories/

    The Digital Caftan
    Online dating apps like Tinder and Bumble arrange connecting easier but can suffer astounding due to too multifarious choices. Women prepare gained more control, such as initiating conversations on Bumble, reflecting broader gender equality.

    Challenges in Dating
    Ghosting and Unsure Dating: Energetic exits and casual encounters are stale, best to confusion.
    Expectations: Miscommunication for everyone commitment can result in frustration.
    Pressure: Popular media creates fanciful expectations of finding the perfected partner.
    Gender Stereotypes: Antique stereotypes round dating roles even so exist, complicating things.
    Keys to Healthful Relationships
    https://latinaporn.one/top-rated/

    Communication: Roomy, honest conversations bod trust.
    Veneration and Equality: Valuing each other as equals fosters balance.
    Leniency: Bewitching habits to build connections reduces pressure.
    Looking Before
    As dating continues to evolve with technology, the fundamentals of defer to, communication, and tenacity cadaver critical repayment for durable relationships.

  • KevinGaw

    KevinGaw - Saturday, 05 October 2024

    [url=https://play-doghouse.ru]https://play-doghouse.ru[/url]

    last news about play doghouse
    http://www.play-doghouse.ru

  • Charleswaync

    Charleswaync - Saturday, 05 October 2024

    Discover What’s Possible: Visit Our Website https://india-aviator-game.com/

  • JuniorGeava

    JuniorGeava - Saturday, 05 October 2024

    https://mssg.me/92iy5


    Hey everyone!

    I wanted to take a moment to share my experience with Samahan and its amazing herbal tea. I first discovered Samahan a few years ago when I was feeling under the weather. A friend recommended it, and I was curious to give it a try.

    Samahan is an herbal blend from Sri Lanka, known for its unique combination of spices and herbs. The first time I brewed a cup, I was hit with this warm, comforting aroma that immediately made me feel better. It contains a mix of ingredients like ginger, cinnamon, and pepper, which not only taste great but also have soothing properties.

    What I love most about Samahan tea is its versatility. I drink it when I’m feeling sick, but I also enjoy it as a cozy drink on chilly evenings. It has a bit of spice, which gives it a kick that really warms you up from the inside. Plus, it’s caffeine-free, so I can enjoy it anytime without worrying about staying up too late.

    Another benefit I've noticed is its ability to help with digestion. After a heavy meal, sipping on Samahan really helps settle my stomach. It feels like a natural remedy that just works, and I appreciate that it’s made from all-natural ingredients.

    Overall, I highly recommend giving Samahan tea a try. Whether you’re looking for a soothing drink when you’re under the weather or just want something warm and comforting, it’s definitely worth it. It’s become a staple in my pantry, and I can’t imagine my routine without it. Have any of you tried it? I’d love to hear your thoughts!

  • Mosbet

    Mosbet - Saturday, 05 October 2024

    Öyrənmək istəyirsiniz əvvəl siz keçmək qumar evi
    mərtəbə? Yoxlayın Mosbet oyun kataloqları və almanaxlar üçün city press.

  • Derrickved

    Derrickved - Saturday, 05 October 2024

    [url=https://game-doghouse.ru]http://www.game-doghouse.ru[/url]

    last news about dog house
    http://game-doghouse.ru

  • StephenleS

    StephenleS - Saturday, 05 October 2024

    [url=https://robertofirminoar.biz]https://www.robertofirminoar.biz[/url]

    last news about roberto firmino
    http://robertofirminoar.biz

  • tyomkrylte

    tyomkrylte - Saturday, 05 October 2024

    [url=https://exhubio.com/]
    bestchange ru обменник[/url]


    обменять криптовалюту

Leave a comment

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