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

  • SmnFlook

    SmnFlook - Sunday, 22 December 2024

    There is no need to spend a lot of cash when you can [url=https://lioresalzxz.com/ ]can you buy lioresal price[/url] at the lowest prices anywhere on the net offered on this site

  • More about the author

    More about the author - Sunday, 22 December 2024

    Attractive section of content. I just stumbled upon your
    website and in accession capital to assert that I acquire actually enjoyed account your blog
    posts. Any way I'll be subscribing to your feeds and even I achievement you
    access consistently fast.

  • SmnFlook

    SmnFlook - Sunday, 22 December 2024

    The Internet is a great way to save money and [url=https://lioresalzxz.com/ ]where can i buy cheap lioresal for sale[/url] s from your local pharmacy for personal service.

  • spacenet one television

    spacenet one television - Sunday, 22 December 2024

    constantly i used to read smaller articles or reviews which
    also clear their motive, and that is also happening with this post which I
    am reading at this time.

  • can i purchase cheap levaquin without a prescription

    can i purchase cheap levaquin without a prescription - Sunday, 22 December 2024

    Meds information sheet. What side effects?
    can i purchase cheap levaquin without a prescription
    All what you want to know about meds. Read now.

  • prodentim pro dentim advanced oral probiotics stores

    prodentim pro dentim advanced oral probiotics stores - Sunday, 22 December 2024

    Heya i'm for the first time here. I came across this board and I find It truly
    useful & it helped me out much. I hope to give something
    back and help others like you helped me.

  • amoxicillin buy no prescription united states

    amoxicillin buy no prescription united states - Sunday, 22 December 2024

    amoxicillin 500mg capsule price buying generic amoxicillin without a prescription amoxicillin to buy in uk
    where can i buy generic amoxicillin no prescription where buy generic amoxicillin without rx where can i buy cheap amoxicillin pill
    buying generic amoxicillin price
    how to get amoxicillin for sale where can i buy amoxicillin prices will amoxicillin treat sinus infection
    can i buy amoxicillin no prescription can i get amoxicillin price order amoxicillin online

  • tevenlatr

    tevenlatr - Sunday, 22 December 2024

    Русские фильмы смотреть онлайн бесплатно


    [url=https://smotri-fhdi.ru/filmy/istorija/]Исторические[/url]

  • https://mostbet-e82n.buzz/

    https://mostbet-e82n.buzz/ - Sunday, 22 December 2024

    такие гиганты, как novomatic, net entertainment,
    microgaming и другие, когда предоставляют официальное софт определённому игорному залу, мостбет.

  • helpful resources

    helpful resources - Sunday, 22 December 2024

    I am regular visitor, how are you everybody?
    This paragraph posted at this site is actually fastidious.

Leave a comment

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