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)

162529 comments

  • elektrokar_jbsr

    elektrokar_jbsr - Monday, 10 February 2025

    Удобное управление шторами с помощью электрокарниза и таймера, экономьте энергию и время.
    Дизайнерское решение для вашего дома - электрокарниз с таймером, сделает вашу жизнь проще и приятнее.
    Автоматизируйте процесс управления шторами с электрокарнизом и таймером, современное решение для гармоничного интерьера.
    Электрокарниз с таймером - ваш помощник в повседневной жизни, позволит вам наслаждаться своим временем и пространством.
    Широкий выбор электрокарнизов с таймером для любого интерьера, позволит вам экономить время и силы.
    карнизы и шторы умный дом [url=https://prokarniz50.ru/]карнизы и шторы умный дом[/url] .

  • AfunCasino

    AfunCasino - Monday, 10 February 2025

    [url=https://afun.directorio-de-casinos-mx.com/]casino afun[/url]

    Download latest version of the application casino Afun - win right now!
    afun.directorio-de-casinos-mx.com

  • AfunCasino

    AfunCasino - Monday, 10 February 2025

    [url=https://afun.directorio-de-casinos-mx.com/]afun casino[/url]

    Upload application online casino Afun - win right now!
    afun.directorio-de-casinos-mx.com

  • JuniorGeava

    JuniorGeava - Monday, 10 February 2025

    https://blogfreely.net/ruvornvsrr/how-drueras-ceylon-cinnamon-guarantees-no-lead-contamination


    Hey everyone!
    I recently came across some shocking information about lead in cinnamon, and I just had to share it with you all. I know we all love the rich flavor and warmth cinnamon brings to our food, but did you know that some cinnamon brands might be contaminated with lead?

    I’ve been using cinnamon in my smoothies, oatmeal, and even baked goods for years, so I didn’t think twice about the brand I was choosing. But after doing some research, I learned that certain cinnamon, especially the cheaper varieties, might have dangerous levels of lead. Lead can be harmful, especially if consumed over time, and it can accumulate in your body, leading to health issues like neurological problems and digestive issues.

    So, how do you avoid this dangerous lead in cinnamon? Well, I’ve been hunting for safe cinnamon brands, and I’m here to tell you that it’s possible to enjoy cinnamon without the risk. Some brands have been tested to be free from lead, so you can indulge in your favorite spice without worrying about your health.

    I highly recommend choosing lead-free cinnamon, and I’ve even compiled a list of the best safe cinnamon brands that you can trust. These brands make sure to test their products thoroughly, so you can enjoy your cinnamon without any worries.

    If you want to know more about the dangers of lead in cinnamon and discover which brands to trust, check out my blog. I’ve included everything you need to make an informed decision when buying cinnamon. Don’t compromise your health—learn how to pick safe cinnamon and keep your food delicious and healthy!

  • perevozimgruz_by

    perevozimgruz_by - Monday, 10 February 2025

    круглосуточные грузоперевозки грузоперевозки минск

  • elektrokar_hpsr

    elektrokar_hpsr - Monday, 10 February 2025

    Удобное управление шторами с помощью электрокарниза и таймера, наслаждайтесь комфортом и современностью.
    Создайте атмосферу уюта и стиля с помощью электрокарниза и таймера, добавит функциональности и комфорта.
    Автоматизируйте процесс управления шторами с электрокарнизом и таймером, для вашего удобства и удовольствия.
    Электрокарниз с таймером - ваш помощник в повседневной жизни, обеспечит вас и вашу семью уютом и функциональностью.
    Широкий выбор электрокарнизов с таймером для любого интерьера, позволит вам экономить время и силы.
    умный электропривод для штор [url=https://prokarniz50.ru/]умный электропривод для штор[/url] .

  • JuniorGeava

    JuniorGeava - Monday, 10 February 2025

    https://guarded-police.uncrn.co/blog/how-to-tell-if-your-ceylon-cinnamon-is-lead-free-and-safe-to-use/


    Hey there! I hope you’re all doing well.

    I have to ask—have you ever thought about what’s really in the cinnamon you’re using every day? I didn’t either, until I started reading about lead contamination in cinnamon. It turns out, many brands of cinnamon contain harmful levels of lead, and we unknowingly consume it in our foods. It was a huge wake-up call for me, and I think it’s time we all started paying closer attention to the cinnamon we buy.

    I want to share with you what I’ve learned about lead in cinnamon and how to avoid it. For a while, I had no idea that some cheaper cinnamon brands could contain lead, but as I researched, I found that lead is often found in Cassia cinnamon (the most common type). That’s right—the same cinnamon you might be sprinkling on your coffee could be dangerous!

    But don't worry; I’ve found a solution. There’s plenty of lead-free cinnamon available, and I’ve listed the best safe cinnamon brands for you to check out.

    These brands prioritize your health by testing their products for lead, so you can enjoy all the benefits of cinnamon without the risk.

    I know how important it is to find quality ingredients for my kitchen, and now I’m on a mission to share that knowledge with you. If you want to learn more about the dangers of lead in cinnamon and find out which brands are completely safe, head over to my blog. Trust me, you don’t want to miss out on this crucial information! Stay safe and healthy!

  • تم تولد کرومی بنفش

    تم تولد کرومی بنفش - Monday, 10 February 2025

    What's up, its pleasant paragraph about media print,
    we all know media is a fantastic source of information.

  • Tinder定制老号便宜批发飞机搜索@DGFC168 Tinder火种定制出售飞机搜索@DGFC168 火种定制出售飞机搜索@DGFC168 Tinder火种定制号购买tg: @DGFC168

    Tinder定制老号便宜批发飞机搜索@DGFC168 Tinder火种定制出售飞机搜索@DGFC168 火种定制出售飞机搜索@DGFC168 Tinder火种定制号购买tg: @DGFC168 - Monday, 10 February 2025

    Tinder定制老号便宜批发飞机搜索@DGFC168
    Tinder火种定制出售飞机搜索@DGFC168
    火种定制出售飞机搜索@DGFC168
    Tinder火种定制号购买tg: @DGFC168

  • slots-rait

    slots-rait - Monday, 10 February 2025

    Turkiye Slotlar Rehberi Buyuk kazancl? slotlar En Iyi Slotlar ve Casinolar! Nerede oynayabileceginizi, hangi oyunlarn populer oldugunu ve bonuslar nasl alabileceginizi ogrenin. Oyun alanlar ve guncel eglencelere dair kapsaml bir genel baks!

Leave a comment

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