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)

171279 comments

  • StardaZercalo

    StardaZercalo - Tuesday, 26 November 2024

    [url=https://starda-casino-apk.ru/starda-oficzialnyj-sajt]http://www.starda-casino-apk.ru/starda-oficzialnyj-sajt[/url]

    Скачать приложение казино онлайн Старда - побеждай прямо сейчас!
    https://www.starda-casino-apk.ru/starda-oficzialnyj-sajt

  • Scottsoole

    Scottsoole - Tuesday, 26 November 2024

    九州娛樂

    KU娛樂城與九州娛樂簡介

    KU娛樂城是九州娛樂旗下的一個知名線上娛樂平台,致力於為玩家提供安全、創新且多元化的娛樂服務。九州娛樂作為亞洲地區的線上娛樂領導品牌,以其穩定的運營、先進的技術和用戶至上的服務理念聞名於業界。KU娛樂城在九州娛樂的支持下,不僅具備強大的品牌背景,還融入了創新的遊戲設計和完善的會員體系,成為眾多玩家的理想選擇。

    KU娛樂城的遊戲種類
    KU娛樂城為玩家提供了豐富多樣的遊戲選項,涵蓋多個熱門類別,旨在滿足不同類型玩家的娛樂需求:
    1. 體育投注
    KU娛樂城提供全面的體育賽事投注服務,覆蓋足球、籃球、棒球等多項主流運動。玩家可以根據實時賠率和賽事數據進行投注,享受觀賽與下注相結合的刺激體驗。

    2. 真人娛樂
    在真人娛樂區,玩家可以參與百家樂、輪盤、德州撲克等經典遊戲,並與真人荷官進行即時互動。先進的直播技術確保遊戲過程流暢無延遲,讓玩家彷彿置身於真實賭場。

    3. 電子老虎機
    KU娛樂城集合了數百款精美設計的電子老虎機遊戲,無論是經典三軸機還是具備豐富特效的多軸機,皆可滿足玩家的需求。高額的獎金機制與趣味主題設計,讓每一次旋轉都充滿驚喜。

    4. 捕魚遊戲
    KU娛樂城的捕魚遊戲區擁有多種玩法,玩家可以透過射擊技巧和策略挑戰不同級別的魚類,贏取豐厚的獎勵。畫面精美的海底場景和豐富的道具選擇,讓捕魚遊戲成為平台上的人氣項目。

    5. 彩票與其他遊戲
    KU娛樂城還提供豐富的彩票遊戲和創新娛樂玩法,玩家可以選擇自己喜好的遊戲類型,盡享多樣化的娛樂體驗。

    九州娛樂的技術支持
    九州娛樂作為KU娛樂城的母公司,以其先進的技術實力和多年的行業經驗為平台提供堅實的支持。九州娛樂引入國際頂級的數據加密技術,確保用戶的個人資訊和交易數據的安全性。同時,遊戲結果均經過公平性測試和第三方機構認證,為玩家打造一個公平透明的娛樂環境。

    優質的會員服務
    KU娛樂城始終以玩家為中心,提供一系列貼心的服務與福利:
    - 優惠活動
    平台定期推出豐富的促銷活動,包括新會員首存禮金、充值返利以及抽獎活動,讓玩家的每一次參與都更有價值。
    - 快速出入金
    KU娛樂城支持多種主流支付方式,並保證存提款的快速處理,讓玩家無需等待即可享受遊戲樂趣。
    - 全天候客戶服務
    KU娛樂城提供24小時在線客服支援,隨時解答玩家的疑問,確保每位玩家都能獲得最好的服務體驗。

    KU娛樂城的競爭優勢
    KU娛樂城之所以能在眾多線上娛樂平台中脫穎而出,除了其豐富的遊戲種類與頂級服務外,還有以下幾個顯著的競爭優勢:
    1. 品牌信譽
    作為九州娛樂旗下的品牌,KU娛樂城憑藉多年的穩定運營,已成為亞洲玩家心目中值得信賴的娛樂平台。
    2. 持續創新
    KU娛樂城不斷推出新遊戲和新功能,為玩家帶來更多元化和現代化的娛樂體驗。
    3. 本地化服務
    平台針對不同地區的玩家提供本地化的界面與支付選項,提升了用戶的便利性與滿意度。

    未來展望
    KU娛樂城將繼續秉承九州娛樂的核心理念,致力於成為亞洲線上娛樂市場的佼佼者。無論是透過升級遊戲技術、推出更多創新玩法,還是提升服務品質,KU娛樂城都希望為玩家帶來更加豐富的娛樂體驗。

    總而言之,KU娛樂城在九州娛樂的支持下,憑藉其出色的遊戲內容和優質的服務,已成為線上娛樂行業中的一顆璀璨明珠。如果您正在尋找一個結合信譽、創新與趣味的娛樂平台,KU娛樂城將是不二之選。

  • Ремонт imac в Москве

    Ремонт imac в Москве - Tuesday, 26 November 2024

    Наша мастерская предлагает надежный срочный ремонт imac различных марок и моделей. Мы понимаем, насколько необходимы вам ваши компьютеры Apple, и обеспечиваем ремонт первоклассного уровня. Наши опытные мастера проводят ремонтные работы с высокой скоростью и точностью, используя только сертифицированные компоненты, что предоставляет надежность и долговечность наших услуг.
    Наиболее распространенные поломки, с которыми сталкиваются пользователи моноблоков iMac, включают проблемы с жестким диском, неисправности дисплея, проблемы с портами, программные сбои и проблемы с охлаждением. Для устранения этих поломок наши опытные мастера выполняют ремонт жестких дисков, дисплеев, разъемов, ПО и систем охлаждения. Обратившись к нам, вы получаете качественный и надежный мастер по ремонту аймака рядом.
    Подробная информация представлена на нашем сайте: https://remont-imac-mos.ru

  • vivod iz zapoya ekaterinbyrg_rfer
  • vivod iz zapoya ekaterinbyrg_nakr

    vivod iz zapoya ekaterinbyrg_nakr - Tuesday, 26 November 2024

    вывод из запоя капельница [url=https://vip.mybb.rocks/viewtopic.php?id=7687/]вывод из запоя капельница [/url] .

  • useful link

    useful link - Tuesday, 26 November 2024

    Nice post. I used to be checking continuously this weblog and I'm impressed!
    Very useful information specifically the final section :) I
    maintain such info much. I used to be seeking this particular info for
    a very long time. Thank you and best of luck.

  • MonroAndroid

    MonroAndroid - Tuesday, 26 November 2024

    [url=https://starda-casino-apk.ru/starda-na-androjd]https://starda-casino-apk.ru/starda-na-androjd[/url]

    Установить приложение казино Monro - побеждай сейчас!
    http://starda-casino-apk.ru/starda-na-androjd

  • GamaDownload

    GamaDownload - Tuesday, 26 November 2024

    [url=https://fleknova.blog.idnes.cz/redir.aspx?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://venturegenerated.com.xx3.kz/go.php?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://denditoys.com.ua/bitrix/redirect.php?goto=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=https://cseg.ca/?URL=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://m.snek.ai/redirect?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=https://www.pastamaken.nl/click/?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://www.boulterproperties.com/searchpoint/redir.asp?reg_id=ptypes&sname=/searchpoint/search.asp&lid=1&sponsor=res&url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://t.caozha.com.xx3.kz/go.php?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=https://capitalandprovincial.com/?URL=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=https://liverpoolfc.news/redirect.php?source=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=https://www.easyviajar.com/me/link.jsp?site=359&client=1&id=110&url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://www.ballymenaunitedfc.com/news/external.php?section=m&inthemediaid=1631&link=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://comfortfence.com.xx3.kz/go.php?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://akbota.kz.xx3.kz/go.php?url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]
    [url=http://paysecure.ro/redirect.php?link=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]


    Install apk file casino gama - win right now!
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat
    gama-casino-apk.ru/gama-skachat

  • DownloadGama

    DownloadGama - Tuesday, 26 November 2024

    [url=https://gama-casino-apk.ru/gama-skachat]gama-casino-apk.ru/gama-skachat[/url]

    Установить приложение казино онлайн Гама - играй прямо сейчас!
    https://www.gama-casino-apk.ru/gama-skachat

  • Get the facts

    Get the facts - Tuesday, 26 November 2024

    I really like what you guys are up too. This
    sort of clever work and exposure! Keep up the good works
    guys I've you guys to my own blogroll.

Leave a comment

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