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)

164700 comments

  • Danielboows

    Danielboows - Sunday, 16 February 2025

    Идеи для дома https://ucmo.com.ua ремонта и строительства! Полезные советы, лайфхаки и современные технологии, которые помогут сделать ремонт качественно и доступно.

  • WilliamAsype

    WilliamAsype - Sunday, 16 February 2025

    Ремонт без стресса https://panorama.zt.ua Готовые решения, полезные лайфхаки, выбор материалов и идеи для дома. Делаем ремонт комфортным и доступным!

  • king88

    king88 - Sunday, 16 February 2025

    It's an remarkable paragraph in favor of all the online visitors; they will obtain benefit from
    it I am sure.

  • http://woodw.o.r.t.hwww.gnu-darwin.org/

    http://woodw.o.r.t.hwww.gnu-darwin.org/ - Sunday, 16 February 2025

    I'm so grateful to have come across this page.

    I find that there are an inadequate number of conversations on this problem, although it most certainly has an effect on a substantial section of the citizenry.
    I'm intending to submit further contributions here in the foreseeable future, in the
    midst of my present chaotic life as a chair massage event planner

  • Cafecaplect

    Cafecaplect - Sunday, 16 February 2025

    взлом вов финал [url=https://apk-smart.com/igry/strategii/1156-vov-final-strategija-i-taktika-polnaja-versija-vzlomannaja.html]https://apk-smart.com/igry/strategii/1156-vov-final-strategija-i-taktika-polnaja-versija-vzlomannaja.html[/url] взлом вов финал

    P.S Live ID: K89Io9blWX1UfZWv3ajv
    P.S.S [url=http://strodti-eep.de/guestbook/index.php]Программы и игры для Андроид телефона[/url] [url=https://www.livejournal.com/login.bml?returnto=http%3A%2F%2Fwww.livejournal.com%2Fupdate.bml&event=psebay%20premium%20%D1%81%D0%BA%D0%B0%D1%87%D0%B0%D1%82%D1%8C%20%3Ca%20href%3Dhttps%3A%2F%2Fapk-smart.com%2Figry%2Fgonki%2F831-psebay-polnaja-premium-versija.html%3Ehttps%3A%2F%2Fapk-smart.com%2Figry%2Fgonki%2F831-psebay-polnaja-premium-versija.html%3C%2Fa%3E%20psebay%20premium%20%D1%81%D0%BA%D0%B0%D1%87%D0%B0%D1%82%D1%8C%20%0D%0A%20%0D%0AP.S%20Live%20ID%3A%20K89Io9blWX1UfZWv3ajv%20%0D%0AP.S.S%20%20005_9b2%20]Программы и игры для Андроид телефона[/url] [url=http://ladies.zp.ua/viewtopic.php?f=300&t=210517]Программы и игры для Андроид телефона[/url] 21_87a4

  • Craigmailt

    Craigmailt - Sunday, 16 February 2025

    Профессиональные советы https://ukk.kiev.ua по ремонту и строительству! Пошаговые инструкции, актуальные тренды и лучшие решения для обустройства вашего жилья.

  • kawi777

    kawi777 - Sunday, 16 February 2025

    It's a shame you don't have a donate button! I'd certainly donate to this fantastic blog!
    I suppose for now i'll settle for bookmarking and adding your RSS feed to my Google
    account. I look forward to brand new updates and will talk about this website with my Facebook group.
    Chat soon!

  • WilliamAsype

    WilliamAsype - Saturday, 15 February 2025

    Ремонт без стресса https://panorama.zt.ua Готовые решения, полезные лайфхаки, выбор материалов и идеи для дома. Делаем ремонт комфортным и доступным!

  • WilliamAsype

    WilliamAsype - Saturday, 15 February 2025

    Ремонт без стресса https://panorama.zt.ua Готовые решения, полезные лайфхаки, выбор материалов и идеи для дома. Делаем ремонт комфортным и доступным!

  • Danielboows

    Danielboows - Saturday, 15 February 2025

    Идеи для дома https://ucmo.com.ua ремонта и строительства! Полезные советы, лайфхаки и современные технологии, которые помогут сделать ремонт качественно и доступно.

Leave a comment

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