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)

35085 comments

  • Georgedew

    Georgedew - Wednesday, 03 July 2024

    Cristiano Ronaldo https://cristiano-ronaldo.prostoprosport-cz.org je portugalsky fotbalista, utocnik, kapitan Saudske Arabie klubu An-Nasr a portugalskeho narodniho tymu. Mistr Evropy. Povazovan za jednoho z nejlepsich fotbalistu vsech dob. Nejlepsi strelec v historii fotbalu podle IFFIS a ctvrty podle RSSSF

  • RonaldLoato

    RonaldLoato - Wednesday, 03 July 2024

    Luka Modric https://luka-modric.prostoprosport-cz.org je chorvatsky fotbalista, stredni zaloznik a kapitan spanelskeho tymu. klub Real Madrid, kapitan chorvatskeho narodniho tymu. Uznavan jako jeden z nejlepsich zalozniku nasi doby. Rytir Radu prince Branimira. Rekordman chorvatske reprezentace v poctu odehranych zapasu.

  • Reggieemept

    Reggieemept - Wednesday, 03 July 2024

    Son Heung Min https://son-heung-min.prostoprosport-cz.org Jihokorejsky fotbalista, utocnik a kapitan anglickeho klubu Premier League Tottenham Hotspur a narodniho tymu Korejske republiky. V roce 2022 vyhral Zlatou kopacku Premier League.

  • MichaelSlire

    MichaelSlire - Wednesday, 03 July 2024

    Pablo Martin Paez Gavira https://gavi.prostoprosport-cz.org Spanelsky fotbalista, zaloznik barcelonskeho klubu a spanelske reprezentace. Povazovan za jednoho z nejtalentovanejsich hracu sve generace. Ucastnik mistrovstvi sveta 2022. Vitez Ligy narodu UEFA 2022/23

  • Sidraexemn

    Sidraexemn - Wednesday, 03 July 2024

    [u][b] Привет, друзья![/b][/u]
    Для многих людей, приобрести диплом ВУЗа - это острая необходимость, возможность получить достойную работу. Но для кого-то - это желание не терять время на учебу в ВУЗе. Что бы ни толкнуло вас на такой шаг, наша компания готова помочь вам. Максимально быстро, качественно и выгодно сделаем диплом нового или старого образца на настоящих бланках с реальными подписями и печатями.
    [b]Заказать документ[/b] университета вы сможете у нас в Москве. Мы оказываем услуги по производству и продаже документов об окончании любых ВУЗов РФ. Вы сможете получить диплом по любым специальностям, любого года выпуска, включая документы Советского Союза. Даем гарантию, что при проверке документов работодателем, подозрений не возникнет.
    О преимуществах наших дипломов:
    • используются лишь настоящие бланки "Гознака";
    • необходимые подписи руководства;
    • мокрые печати университета;
    • водяные знаки, нити и прочие степени защиты;
    • безупречное качество оформления - ошибки исключены;
    • любая проверка документов.
    [b]Наши специалисты предлагают[/b] быстро и выгодно приобрести диплом, который выполнен на оригинальной бумаге и заверен печатями, водяными знаками, подписями. Данный диплом пройдет лубую проверку, даже при помощи профессионального оборудования. Достигайте своих целей быстро и просто с нашим сервисом.
    [b]Где заказать диплом специалиста?[/b]
    http://a90275db.beget.tech/2024/03/07/diplomy-v-moskve-luchshiy-vybor-dlya-ekonomii.html
    [b]Успешной учебы![/b]

  • CharlesJab

    CharlesJab - Wednesday, 03 July 2024

    Hi there! [url=https://valtrexvl.top/#phentermine-online-pharmacy]can you buy cheap valacyclovir without a prescription РіРѕРІРѕСЂРёС‚:[/url] beneficial web site.

  • quietmona.com

    quietmona.com - Wednesday, 03 July 2024

    15 Best Pornstars On Playboy Bloggers You Should
    Follow Best pornstars (quietmona.com)

  • kaymell.uk

    kaymell.uk - Wednesday, 03 July 2024

    How To Make An Amazing Instagram Video About Online Slots kaymell.uk

  • ErnestVob

    ErnestVob - Wednesday, 03 July 2024

    Индивидуалки Тюмень

  • Droidermus

    Droidermus - Wednesday, 03 July 2024

    Tank Arena Steel Battle - MOD Money + MOD Menu
    https://youtu.be/i-uxHfmrTuM

    Grand Mobile (CRMP) - MOD Money + MOD Menu
    https://youtu.be/DaQZ4v5agHE

    Doomsday Last Survivor MOD APK
    https://youtu.be/2kzejaqFNcE

    [url=http://www.ftftftf.com/zzz_NotInUse/zzzz_bbslb/light.cgi/www.ravimotorcycles.com/metorsref.info]TOP 3 Mobile Games in month[/url] [url=http://bihoro.wata-ru.com/a11-keiji01/mytown.cgi]TOP 3 Mobile Games in day[/url] [url=http://dafo.ro/component/k2/item/1-integer-et-neque-neque-suspendisse-vel-diam-vitae-lorem-tincidunt-porta-lorem-vitae/]TOP 3 Mobile Games in month[/url] [url=http://us-import-export-consulting.com/component/k2/item/28.html]TOP 3 Mobile Games in day[/url] [url=http://ojisan2000.komusou.com/aska/aska.cgi/news/nationworld/world/modules/index.html]TOP 3 Mobile Games in day[/url] 2da11c5

Leave a comment

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