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)

34640 comments

  • mobila living chisinau

    mobila living chisinau - Wednesday, 12 June 2024

    встраиваемый холодильник

  • DanielShemy

    DanielShemy - Wednesday, 12 June 2024

    Современная вилла с каменной виллой с личным бассейном и личным парковочным местом. Светлый и просторный, идеально подходит для пар и семей [url=https://pride-land.ru/]дешевые дома на кипре[/url]

  • DanielBus

    DanielBus - Wednesday, 12 June 2024

    жк казань купить квартиру от застройщика https://nedvizhimost16.ru

  • DanielShemy

    DanielShemy - Wednesday, 12 June 2024

    Современная вилла с каменной виллой с личным бассейном и личным парковочным местом. Светлый и просторный, идеально подходит для пар и семей [url=https://pride-land.ru/]агентство недвижимости на кипре[/url]

  • WilliamAdeni

    WilliamAdeni - Wednesday, 12 June 2024

    купить квартиру в казани от застройщика купить квартиру от застройщика цены

  • DanielShemy

    DanielShemy - Wednesday, 12 June 2024

    Современная вилла с каменной виллой с личным бассейном и личным парковочным местом. Светлый и просторный, идеально подходит для пар и семей [url=https://pride-land.ru/]недвижимость на кипре компания[/url]

  • bclub.cm

    bclub.cm - Wednesday, 12 June 2024

    https://briancc.shop
    An intriguing discussion is definitely worth comment. I think that you should publish
    more about this issue, it may not be a taboo matter but generally folks don't discuss these topics.
    To the next! Kind regards!!

  • GoogleAPKmdf

    GoogleAPKmdf - Wednesday, 12 June 2024

    Android-устройства стали настоящим развлекательным мирового масштаба, предлагая великое разнообразие развлечений и приложений для повседневных задач. В этом руководстве мы рассмотрим разнообразные аспекты использования программ и игр на устройствах под управлением Android.

    Если ничего не нашли то:

    https://vk.cc/cxjJZG

    Android предлагает доступ к разносторонним играм и программам через официальный магазин приложений и другие источники. Эти приложения могут варьироваться от игр различных жанров до полезных инструментов для оптимизации времени. Мы рассмотрим, как отыскать, установить и запустить игры и программы на вашем устройстве Android.

    Если вам интересны взломанные и модифицированные версии игр, вы можете посетить сайт
    [url=http://www.plazuelasdesandiego.com/component/k2/item/6-these-pixelated-portraits/]Игры для Android: Полное руководство для фанатов[/url] [url=http://alphaouest.ca/index.php?option=com_k2&view=item&id=1]Игры для Android: Полное руководство для пользователей[/url] [url=https://geekouthomes.com/echo-show-ten/#comment-179989]Программы для Android: Полное руководство для геймеров[/url] c05fc11

  • DanielBus

    DanielBus - Wednesday, 12 June 2024

    купить квартиру от застройщика купить квартиру недорого

  • WilliamAdeni

    WilliamAdeni - Wednesday, 12 June 2024

    купить квартиру в новостройке от застройщика купить квартиру в казани от застройщика

Leave a comment

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