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)

37288 comments

  • JamesVek

    JamesVek - Sunday, 02 June 2024

    Помощь в получении допуска СРО, сертификата ISO и лицензий от МСМ

    http://help-bussines.ru/vstuplenie-v-sro-stroiteley.html

  • Kennethmexia

    Kennethmexia - Sunday, 02 June 2024

    Сувенирная продукция с логотипом и корпоративный мерч на заказ в Москве
    https://telegra.ph/Vash-brend-v-kazhdom-zheste---sekrety-suvenirnoj-produkcii-s-logotipom-v-Moskve-05-31

  • AaronOmifs

    AaronOmifs - Sunday, 02 June 2024

    visa bet

    Key Factors for Success: Enhancing Your Experience on Betvisa Login Sites in 2024

    As the world of online gambling continues to evolve at a rapid pace, it's essential for players to stay ahead of the curve and adapt their strategies accordingly. Whether you're a seasoned player or just starting your journey, keeping a keen eye on the key factors that can enhance your online gambling experience is crucial, especially when navigating platforms like Betvisa Login.

    Prioritizing Secure and Trusted Platforms
    In the ever-changing landscape of online gambling, selecting a reputable and trustworthy platform is the foundation for a successful and enjoyable experience. Betvisa Login has established itself as a leading destination, renowned for its commitment to player safety, secure transactions, and robust licensing and regulation. By choosing platforms like Betvisa Login, you can rest assured that your personal and financial information is protected, allowing you to focus on the thrill of the game.

    Mastering Game Strategies
    The diverse range of games available on Betvisa Login platforms requires a deeper understanding of the underlying strategies and mechanics. From the nuances of Visa Bet to the intricacies of the Betvisa Casino offerings, taking the time to familiarize yourself with the rules, payouts, and winning techniques can significantly improve your chances of success. Utilize free demo versions and educational resources to hone your skills before diving into real-money play.

    Capitalizing on Bonuses and Promotions
    Online gambling platforms, including Betvisa Login, often offer a range of bonuses and promotions to attract and retain players. From welcome bonuses to free spins and reload offers, these incentives can provide you with valuable extra funds to explore the platform's offerings. However, it's crucial to read the terms and conditions carefully to ensure you maximize the potential benefits and avoid any unintended consequences.

    Maintaining a Balanced Approach
    Responsible gambling practices are essential for a sustainable and enjoyable online gambling experience. Betvisa Login encourages players to set and adhere to personal limits on both time and financial resources. By maintaining a balanced approach, you can ensure that your online gambling activities remain a source of entertainment rather than a source of stress or financial burden.

    Staying Informed and Adaptable
    The online gambling landscape is constantly evolving, with new games, regulations, and industry trends emerging on a regular basis. To stay ahead of the curve, it's crucial to stay informed about the latest developments. Follow industry news, join online communities, and subscribe to Betvisa Login's communication channels to ensure you're always up-to-date on the latest opportunities and best practices.

    Leveraging Customer Support
    When navigating the complexities of online gambling, having access to reliable and responsive customer support can make a significant difference. Betvisa Login's support team is dedicated to addressing player inquiries and resolving any issues that may arise, ensuring a seamless and stress-free experience.

    As we usher in the new year, 2024 promises to be an exciting time for online gambling enthusiasts. By focusing on the key factors outlined above and leveraging the robust offerings of platforms like Betvisa Login, players can elevate their online gambling experience, maximize their chances of success, and embrace the thrilling opportunities that lie ahead.

    Betvisa Bet | Step into the Arena with Betvisa!
    Spin to Win Daily at Betvisa PH! | Take a whirl and bag ?8,888 in big rewards.
    Valentine’s 143% Love Boost at Visa Bet! | Celebrate romance and rewards !
    Deposit Bonus Magic! | Deposit 50 and get an 88 bonus instantly at Betvisa Casino.
    #betvisa
    Free Cash & More Spins! | Sign up betvisa login,grab 500 free cash plus 5 free spins.
    Sign-Up Fortune | Join through betvisa app for a free ?500 and fabulous ?8,888.
    https://www.betvisa-bet.com/tl

    #visabet #betvisalogin #betvisacasino # betvisaph
    Double Your Play at betvisa com! | Deposit 1,000 and get a whopping 2,000 free
    100% Cock Fight Welcome at Visa Bet! | Plunge into the exciting world .Bet and win!
    Jump into Betvisa for exciting games, stunning bonuses, and endless winnings!

  • JosephTer

    JosephTer - Sunday, 02 June 2024

    sunmory33

  • GregoryPat

    GregoryPat - Sunday, 02 June 2024

    Hi all! My name is Admin Read:

    Ищете труднодоступные товары или услуги?Mega зеркалопредлагает самые редкие и исключительные позиции. Регистрация на платформе ссылка на сайт мега занимает всего несколько минут, а пополнение баланса вашего аккаунта происходит столь же мгновенно. мега даркнет маркет ссылка предлагает тысячи уникальных товаров и услуг, с возможностью анонимной оплаты, уже ожидающих вас на своих страницах торговой площадки.

    ссылка на мега тор:https://xn--megsb-l11b.com

  • Pinterest

    Pinterest - Sunday, 02 June 2024

    Hi there, I found your site by the use of Google even as searching for
    a similar subject, your web site came up, it looks great.
    I have bookmarked it in my google bookmarks.[X-N-E-W-L-I-N-S-P-I-N-X]Hello there, simply become alert
    to your blog through Google, and found that it's really informative.
    I'm gonna be careful for brussels. I will appreciate if you continue
    this in future. Numerous other folks shall be benefited from
    your writing. Cheers!

  • GregoryPat

    GregoryPat - Sunday, 02 June 2024

    Hey there, everyone! The name's Admin Read:

    Готовы делать покупки с уверенностью? Мега дарк нет предлагает безопасные и комфортные условия покупок! Благодаря современным средствам защиты и разнообразию товаров https mega обеспечивает беспрепятственный шопинг. Ощутите простоту регистрации без указания email и воспользуйтесь различными методами оплаты. Не упустите шанс присоединиться к мега дарк нет сегодняшнего дня и покупайте с уверенностью и спокойствием.

    m3ga at:https://xn--megsb-l11b.com

  • nstantinyo
  • JamesVek

    JamesVek - Sunday, 02 June 2024

    Помощь в получении допуска СРО, сертификата ISO и лицензий от МСМ

    http://help-bussines.ru/vstuplenie-v-sro-stroiteley.html

  • Kennethmexia

    Kennethmexia - Sunday, 02 June 2024

    Сувенирная продукция с логотипом и корпоративный мерч на заказ в Москве
    https://diigo.com/0wfu8p

Leave a comment

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