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)

162100 comments

  • Anthonyneell

    Anthonyneell - Wednesday, 15 January 2025

    Портал для строительства https://6may.org и ремонта: полезные советы, современные материалы, проекты и идеи. Все, что нужно для воплощения ваших задумок – от фундамента до крыши.

  • Isaacwat

    Isaacwat - Wednesday, 15 January 2025

    Портал о строительстве https://aziatransbud.com.ua статьи, видео, инструкции, каталоги материалов и инструментов. Советы для дома и бизнеса. Легко строить, удобно ремонтировать!

  • DavidAduth

    DavidAduth - Wednesday, 15 January 2025

    Всё для строительства и ремонта https://artpaint.com.ua на одном портале: советы экспертов, обзоры материалов, расчет сметы и готовые решения для вашего дома или бизнеса.

  • Isaacwat

    Isaacwat - Wednesday, 15 January 2025

    Портал о строительстве https://aziatransbud.com.ua статьи, видео, инструкции, каталоги материалов и инструментов. Советы для дома и бизнеса. Легко строить, удобно ремонтировать!

  • Robertnix

    Robertnix - Wednesday, 15 January 2025

    Все об озеленении и благоустройстве https://bathen.rv.ua Ландшафтный дизайн, проекты садов, террас и парков. Идеи для создания зеленых зон, подбор растений и профессиональные услуги для вашего участка.

  • DavidAduth

    DavidAduth - Wednesday, 15 January 2025

    Всё для строительства и ремонта https://artpaint.com.ua на одном портале: советы экспертов, обзоры материалов, расчет сметы и готовые решения для вашего дома или бизнеса.

  • Robertnix

    Robertnix - Wednesday, 15 January 2025

    Все об озеленении и благоустройстве https://bathen.rv.ua Ландшафтный дизайн, проекты садов, террас и парков. Идеи для создания зеленых зон, подбор растений и профессиональные услуги для вашего участка.

  • Anthonyneell

    Anthonyneell - Wednesday, 15 January 2025

    Портал для строительства https://6may.org и ремонта: полезные советы, современные материалы, проекты и идеи. Все, что нужно для воплощения ваших задумок – от фундамента до крыши.

  • RobertMut

    RobertMut - Wednesday, 15 January 2025

    Студия дизайна интерьера https://bconline.com.ua и архитектуры: создаем уникальные проекты для квартир, домов и коммерческих пространств. Эстетика, функциональность и индивидуальный подход – в каждом решении.

  • Anthonyneell

    Anthonyneell - Wednesday, 15 January 2025

    Портал для строительства https://6may.org и ремонта: полезные советы, современные материалы, проекты и идеи. Все, что нужно для воплощения ваших задумок – от фундамента до крыши.

Leave a comment

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