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)

34349 comments

  • jahtolikaz

    jahtolikaz - Tuesday, 12 March 2024

    [url=https://kraken9tt.com/]
    kraken официальные ссылки[/url]


    кракен тор браузер

    https://kraken9tt.com/

  • Extreme Hill Climb Parking Sim MOD Меню

    Extreme Hill Climb Parking Sim MOD Меню - Tuesday, 12 March 2024

    Что же вы получите по ссылке - Extreme Hill Climb Parking Sim MOD Меню

    Описание игры:

    Сегодня на обзоре обсудим Extreme Hill Climb Parking Sim на Андроид от толкового автора.
    Главные параметры:
    1. Объем пустой памяти устройства - 126 MB, освободите память от старых игр, файлов или программ для корректного старта.
    2. Операционная система - Android 5+, рекомендуем определить параметры вашего телефона так как, из-за несоответствия требованиям, могут быть ошибки при установке.
    3. Популярность - на данный момент она составляет 29035722, о популярности приложения четко показывает число загрузок, внесите свой вклад в популярность.
    4. Дата обновления - на странице загружена версия приложения от 26.12.23 - загрузите приложение, если вы установили предыдущую версию.
    Программа выполняет свою важнейшую функцию, помогает вам в решеннии поставленных задач и оптимизирует ваше время. Ключевое отличие Extreme Hill Climb Parking Sim - Без рекламы - открытые возможности, которые улучшат программный процесс, а вам не нужно мучаться с рекламой. Что касается графической оболочки, то все на замечательном уровне, точно так же, как и звуковое сопровождение. Вам решать - использовать оригинальную версию или загрузить МОД. Не забывайте обновлять наш сайт для обновления разных приложений.

    Прямая ссылка:

    http://apk-gamer.ru/1166-skachat-vzlomannuyu-extreme-hill-climb-parking-sim-vzlom-na-monety-na-android.html

    Рекомендуемые сайты:

    [url=https://cmceurope.be/component/k2/item/28-4]Взлом Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто Мод Много Денег - Невероятный взломы игры![/url] [url=http://blueocean365.com/bbs/board.php?bo_table=notice&wr_id=43292]Mech Arena apk - Не[/url] [url=https://www.cup.myrevenge.net/index.php?site=profile&id=10&action=guestbook]Скачать Injustice: Gods Among Us MOD разблокировано - Самый популярный МОД в сети![/url] 47473bc

  • pp88娛樂體驗分

    pp88娛樂體驗分 - Tuesday, 12 March 2024

    Yes! Finally someone writes about pp88娛樂.

  • search engine marketing and optimization

    search engine marketing and optimization - Tuesday, 12 March 2024

    Yes! Finally someone writes about search optimization seo.

  • بهترین سایت بت

    بهترین سایت بت - Tuesday, 12 March 2024

    It's enormous that you are getting ideas from this paragraph as well as from our dialogue made here.

  • blacksprut ссылка tor

    blacksprut ссылка tor - Monday, 11 March 2024

    That is a good tip especially to those fresh to the blogosphere.
    Simple but very precise information… Thanks for sharing this one.

    A must read post!

  • https://jubileeweb.site/

    https://jubileeweb.site/ - Monday, 11 March 2024

    Hi there, I found your web site by means of Google even as searching for a related subject, your site got here up, it appears to be like good.

    I have bookmarked it in my google bookmarks.

    Hello there, just became aware of your blog through Google, and located that it is truly informative.

    I'm going to be careful for brussels. I'll be grateful in case you proceed this in future.
    Lots of other folks shall be benefited out of your writing.
    Cheers!

  • https://topcyber.site/

    https://topcyber.site/ - Monday, 11 March 2024

    Hey I know this is off topic but I was wondering if you knew of any widgets I could add
    to my blog that automatically tweet my newest twitter updates.
    I've been looking for a plug-in like this for quite some time and was hoping maybe
    you would have some experience with something like this.

    Please let me know if you run into anything.
    I truly enjoy reading your blog and I look forward to your new updates.

  • Wileyzooke

    Wileyzooke - Monday, 11 March 2024

    Elevate Your Game with the Best Online Poker Strategies and Tips. Whether you're a beginner or a seasoned pro, our expert insights will help you outsmart your opponents and increase your winning chances. https://www.emoneyspace.com/santacruzsentinel


    Join the Best Real Money Poker Sites and Turn Your Skills into Cash! With our selection of top-tier poker rooms, enjoy safe and exciting play that rewards real skill with real money. Are you ready to claim your seat at the table? https://www.emoneyspace.com/santacruzsentinel


    Discover the Best Poker Sites for Unmatched Online Play. Experience the thrill of live casino poker and high-stakes tournaments online. Our curated list of sites offers the finest in game variety, security, and player rewards. https://www.openhumans.org/member/santacruzsentinel/


    Play Free Online Video Poker and Hone Your Skills! Perfect your strategy and enjoy hours of fun with our free video poker games. It's the ideal way to practice before you dive into real money action. https://wallhaven.cc/user/santacruzsentinel


    Experience the Excitement of Online Texas Holdem for Real Money. Join tables of all stakes and compete against players from around the globe. With real money on the line, every game is an adventure waiting to happen. https://www.bitsdujour.com/profiles/ADHUrn

  • Mildredwer

    Mildredwer - Monday, 11 March 2024

    Здрасте
    Приятно найти единомыщленников
    И вот это тоже по теме

    1xbet Зеркало Рабочее на Сегодня: Где Найти

    [url=https://www.youtube.com/watch?v=QTGP188GFOY]1XBET PROMO CODE Bangladesh 500xbet how to use promo code for registration how to install[/url]
    [url=https://www.youtube.com/watch?v=sMB6jYx8K0A]How to use 1XBET PROMO CODE for registration 500xbet how to register account create Sinhala[/url]
    [url=https://www.youtube.com/watch?v=sXk4mz4s5wA]1XBET PROMO CODE Pakistan 500xbet how to use promo code for registration complete new register[/url]
    [url=https://www.youtube.com/watch?v=ozIccQYrqkI]ПРОМОКОД 1XBET при регистрации 500xbet Россия на 2024 bonus code russia review на сегодня[/url]
    [url=https://www.youtube.com/watch?v=vyEO6SC27rA]Как зарегистрироваться в 1XBET на телефоне если нет 18 1ХБЕТ скачать на андроид и на смартфон айфоне[/url]
    [url=https://www.youtube.com/watch?v=5swhgjmjVZY]Как зарегистрироваться в 1xbet без паспорта полная регистрация на 1хбет в 1 клик Россия Казахстан[/url]
    [url=https://www.youtube.com/watch?v=gxlgmj-ikdE]1XBET ПРОМОКОД 500xbet 1хбет фрукты - фрут коктейль и самый большой выигрыш fruit blast[/url]
    [url=https://www.youtube.com/watch?v=r7-_AiXv0fw]ПРОМОКОД 1XBET Казахстан 2024 500xbet как скачать 1хбет на айфон регистрация Узбекистан[/url]
    [url=https://www.youtube.com/watch?v=sngoIhxta9Q]Промокод на фриспины в 1xbet 500xbet как получить фрибет в 1хбет бонус бесплатная ставка[/url]


    https://www.youtube.com/watch?v=ozIccQYrqkI
    https://www.youtube.com/watch?v=vyEO6SC27rA
    https://www.youtube.com/watch?v=5swhgjmjVZY
    https://www.youtube.com/watch?v=gxlgmj-ikdE
    https://www.youtube.com/watch?v=QTGP188GFOY
    https://www.youtube.com/watch?v=sMB6jYx8K0A
    https://www.youtube.com/watch?v=sXk4mz4s5wA
    https://www.youtube.com/watch?v=IkLl7r4PI4o
    https://www.youtube.com/watch?v=r7-_AiXv0fw
    https://www.youtube.com/watch?v=sngoIhxta9Q

Leave a comment

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