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)

162642 comments

  • how to get cheap levitra without a prescription

    how to get cheap levitra without a prescription - Monday, 10 February 2025

    Medication information sheet. What side effects can this medication cause?
    how to get cheap levitra without a prescription
    All about medication. Get information here.

  • kawi777

    kawi777 - Monday, 10 February 2025

    You've made some decent points there. I looked on the
    net to find out more about the issue and found most people will go
    along with your views on this site.

  • EdwardPoome

    EdwardPoome - Monday, 10 February 2025

    Is it possible to win at Lucky Jet? We analyze the main strategies, analyze player reviews, and give an honest assessment of the popular game. Read to avoid mistakes and increase your chances of success!

  • Jamesoneft

    Jamesoneft - Monday, 10 February 2025

    ПРивет всем. Обращайтесь [url=https://kredo48.ru/razdel-imushhestva/]заявление на раздел имущества[/url]

  • EdwardPoome

    EdwardPoome - Monday, 10 February 2025

    Is it possible to win at Lucky Jet? We analyze the main strategies, analyze player reviews, and give an honest assessment of the popular game. Read to avoid mistakes and increase your chances of success!

  • JuniorGeava

    JuniorGeava - Monday, 10 February 2025

    https://open.substack.com/pub/edwinuynw586/p/how-to-ensure-youre-buying-lead-free?r=55f5sj&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true


    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!

  • anzorstera

    anzorstera - Monday, 10 February 2025

    [url=https://exhubi.com/]
    купить бтк[/url]


    купить eth

    https://exhubi.com/

  • EdwardPoome

    EdwardPoome - Monday, 10 February 2025

    Is it possible to win at Lucky Jet? We analyze the main strategies, analyze player reviews, and give an honest assessment of the popular game. Read to avoid mistakes and increase your chances of success!

  • EdwardPoome

    EdwardPoome - Monday, 10 February 2025

    Is it possible to win at Lucky Jet? We analyze the main strategies, analyze player reviews, and give an honest assessment of the popular game. Read to avoid mistakes and increase your chances of success!

  • cost of generic cilostazol without prescription

    cost of generic cilostazol without prescription - Monday, 10 February 2025

    can i buy cilostazol tablets

Leave a comment

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