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)

138012 comments

  • BrianVen

    BrianVen - Wednesday, 31 July 2024

    Готовы испытать простоту онлайн-покупок? Обратите внимание на торговую площадку [url=https://xn--megsb-5wa.com]mega at[/url]! Благодаря удобному интерфейсу и различным предложениям товаров [url=https://xn--megsb-5wa.com]мега сайт даркнет ссылка[/url] обеспечивает беспроблемный шопинг. Наслаждайтесь беззаботной регистрацией и изучайте широкий спектр категорий. Присоединяйтесь к [url=https://xn--megsb-5wa.com]мега дарк нет[/url] сегодня и делайте покупки с комфортом.

    mega com ссылка: https://mega-active-links.com

  • Robertvam
  • MarvinJUTLE

    MarvinJUTLE - Wednesday, 31 July 2024

    Christiano Ronaldo https://real-madrid.robertocarlos-tr.net is a football genius who has become one of the greatest players of our time with his passion, technique and physical prowess.

  • Randallnualo

    Randallnualo - Wednesday, 31 July 2024

    The brilliant Brazilian's https://barcelona.ronaldinho-tr.com rise to the top of world football with Barcelona in the 2000s.

  • HectorGrels

    HectorGrels - Wednesday, 31 July 2024

    The fascinating story of Kamit Alt?ntop's https://real-madrid.zinedine-zidane-fr.com rise from Germany's youth teams to the legend of Galatasaray and Turkish football.

  • JamesNab

    JamesNab - Wednesday, 31 July 2024

    Follow the fascinating evolution of Cristiano Ronaldo's https://an-nasr.cristianoronaldo-tr.com career, from his triumphs in Europe to his move to Saudi Arabia, where he continues to reach new heights in football.

  • Aviator

    Aviator - Wednesday, 31 July 2024

    Fair Play Policies and RNG
    aviator game

  • Francisadmix

    Francisadmix - Wednesday, 31 July 2024

    https://gosznakdublikat.ru/

  • sarang777

    sarang777 - Wednesday, 31 July 2024

    Today, I went to the beach front with my children. I found a sea shell and
    gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear."
    She placed the shell to her ear and screamed.
    There was a hermit crab inside and it pinched her ear.
    She never wants to go back! LoL I know this is completely off topic but I had to tell
    someone!

  • Aviator

    Aviator - Wednesday, 31 July 2024

    Bonuses: Online casinos often offer bonuses and promotions, enhancing the gaming experience.
    aviator online game

Leave a comment

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