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)

177481 comments

  • CasinoJet

    CasinoJet - Monday, 11 November 2024

    [url=https://jet-casino-apk.ru/jet-casino/]jet-casino-apk.ru/jet-casino/[/url]

    Установить последнюю версию приложения онлайн казино Джет - выигрывай сегодня!
    http://jet-casino-apk.ru/jet-casino/

  • WilliamCrali

    WilliamCrali - Monday, 11 November 2024

    https://sites.google.com/view/backlinks-seo-sell/Back links act as a essential aspect of link development, necessary for enhancing a webpage’s trust and search visibility. Alongside comprehensive SEO strategies—involving choosing and aiming for relevant keywords—inbound links act a key part in setting up a solid internet presence. Our strategy merges high-quality backlinks with strategic optimization planning to boost your website’s performance.

    3-Step Backlink System
    Our 3-stage backlink strategy is created for optimal SEO impact. This process utilizes top-level forwarding links from sites with ranking at 8 through 10, greatly boosting your webpage’s ranking strength. In addition, we use link tools that organize your link architecture, enabling SEO tools to more easily read your website’s layout. This is a vital aspect in improving your search visibility and indexing.

    Diverse Approaches for Online Promotion and Link Types
    We deliver expert consultations to support you through detailed site promotion methods, discussing the application of different link categories. Our consultants guide you in an well-structured network of backlinks and optimizing the ratio of anchor and non-anchor text links. We supplement with guidance on the right balance of SEO links to develop a authentic backlink profile that matches SEO algorithms.

    Comprehensive Assistance for Blog Networks
    For clients who want in private blog networks (PBNs), we deliver extensive advice on establishing sustainable PBN sites bypassing abandoned domains, a more secure and more beneficial approach to building backlinks.

    Backlink Pyramids and the Power of Layered Links
    Our strategies employ developing pyramid systems—arrangements like link levels—to strengthen your webpage’s SEO strength. This multi-tiered approach fortifies top-tier links and increases their impact on your site’s rankings.

    Using Social Media for Search Optimization
    Social media are powerful methods in driving user engagement as well as for enhancing search ranking. With strong search engine visibility by Google and Bing, social networks can significantly boost your search engine optimization by boosting backlink range and engagement signals.

    Outreach and Professional Assistance
    Our digital strategies include assistance on outreach methods, allowing you learn how to build key backlinks and build connections with trusted sites. We are here to answer any questions, delivering customized suggestions and tactics suited for your specific SEO goals.

    With our exclusive and multi-faceted SEO services, you gain beyond reliable external links but even more the planning knowledge needed to establish a durable, well-ranked web presence.
    https://unitenplay.ca/forums/topic/backlinksseo2024s/

  • CasinoJet

    CasinoJet - Monday, 11 November 2024

    [url=https://jet-casino-apk.ru/jet-casino/]https://jet-casino-apk.ru/jet-casino/[/url]

    Загрузить последнюю версию приложения казино онлайн Джет - играй сегодня!
    http://www.jet-casino-apk.ru/jet-casino/

  • ArthurJak

    ArthurJak - Monday, 11 November 2024

    Геосинтетические материалы https://ksgeo.ru для строительства широкий ассортимент продукции для укрепления грунтов, дренажа и защиты от эрозии. Надежные решения для дорожного, ландшафтного и промышленного строительства.

  • ArthurJak

    ArthurJak - Monday, 11 November 2024

    Геосинтетические материалы https://ksgeo.ru для строительства широкий ассортимент продукции для укрепления грунтов, дренажа и защиты от эрозии. Надежные решения для дорожного, ландшафтного и промышленного строительства.

  • ArthurJak

    ArthurJak - Monday, 11 November 2024

    Геосинтетические материалы https://ksgeo.ru для строительства широкий ассортимент продукции для укрепления грунтов, дренажа и защиты от эрозии. Надежные решения для дорожного, ландшафтного и промышленного строительства.

  • DustinAspix

    DustinAspix - Monday, 11 November 2024

    https://t.me/kruiz_diskont

  • Vrfcplusa

    Vrfcplusa - Monday, 11 November 2024

    The effectiveness of Viagra in ED. [url=https://stromectolinfo24x7.com/]ivermectin 4[/url] now!

  • ErnestDit

    ErnestDit - Monday, 11 November 2024

    Предложения для открытия бизнеса ИП с нуля — редкость. Для получения займа предприниматель уже должен работать на рынке. Обычно не меньше 6 месяцев кредит наличными на развитие бизнеса

  • EugenePlole

    EugenePlole - Monday, 11 November 2024

    Мы предлагаем разнообразные курсы, чтобы соответствовать вашим потребностям в обучении вождению. Начните свою карьеру на дороге прямо сейчас вместе с нами автошкола онлайн москва

Leave a comment

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