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)

34765 comments

  • saas seo link building tips

    saas seo link building tips - Sunday, 07 July 2024

    ## Comprehending the Value of Link Building

    Link building entails getting backlinks from other websites to your own. Those links are
    seen as votes of trust by Bing. The more authoritative hyperlinks you have,
    the better your site's probability of showing up better on SERPs.


    ## Types of Backlinks

    ### Organic Links

    Organic links are obtained without any work from the site
    owner. These links appear when other websites find your posts useful and link to it.


    ### Outreach Links

    Outreach links include proactively requesting links from other webmasters.
    This can involve reaching out to website owners, asking for
    backlinks to your content.

    ### Self-Created Links

    User-Generated links are made by inserting your webpage's link
    to blog comments. Although these links may provide a immediate boost, they usually come with low authority
    and can lead to penalties from Google.

    ## Effective Link Building Techniques

    ### Article Creation & Distribution

    Creating valuable posts that naturally attracts links is a basic strategy for efficient link building.

    Listed below are some suggestions:

    - Develop informative blog posts that solve frequent issues in your field.

    - Design visuals that present intricate information in an simple manner.

    - Write extensive guides on subjects that are thought to be
    important to your readers.

    ### Guest Posting

    Guest posting is another successful strategy
    to build valuable backlinks. This includes creating content for other publications
    in your field. Make sure that your guest posts are high-quality and contain a link
    to your site.

    ### Broken Link Fixing

    Broken link building is a method that involves finding broken links on other websites and recommending your
    content as a replacement. This does more than aids the website owner
    fix their broken link but also gives you a high-quality link.


    ### Outreach and Networking

    Building connections with other site owners in your niche is a enduring strategy
    for link building. Listed below are some actions to take:


    - Get involved in discussion boards about your
    field.
    - Distribute other individuals' posts and provide valuable input.

    - Collaborate on collaborative initiatives such as webinars.


    ### Social Networks

    Sharing your articles on social media can increase its exposure
    and potential to get backlinks. Interact with your followers on sites like Twitter and
    Instagram to build a solid digital footprint.

    ## Evaluating the Success of Your Link Building Campaign

    ### Tools for Link Analysis

    Numerous software are out there to help you measure the effectiveness of
    your link building campaign. Some popular tools are:


    - Google Analytics
    - Ahrefs
    - Moz Pro
    - SEMrush
    - Majestic

    ### Metrics to Track

    When assessing the performance of your link building efforts,
    consider the upcoming measures:

    - Domain Rating
    - PA
    - Number of referring domains
    - Quality of links
    - Hits generated from hyperlinks

    ### Adjusting Your Plan

    According to the information collected from your evaluation, adjust
    your link building plan to enhance its effectiveness.
    This could entail emphasizing different categories of content,
    targeting new platforms, or improving your contact
    method.

    ## Common Errors in Link Building and How to Avoid Them

    ### Poor Links

    Among the common pitfalls is obtaining low-quality links from non-relevant
    or spammy websites. Such backlinks might harm your website's SEO.


    ### Over-Optimization

    Utilizing over-optimized link text excessively can result in sanctions
    from Bing. Aim for a diverse mix of hyperlink text.


    ### Ignoring Nofollow Attributes

    Although nofollow tags do not transfer ranking juice, they
    might nonetheless drive hits and improve brand awareness.

    ## Future Trends in Link Building

    ### Machine Learning and Backlink Acquisition

    As the progress of machine learning, link building strategies
    are getting more advanced. Artificial intelligence tools
    can help in discovering valuable hyperlink prospects and anticipating the potential on search engine ranking.


    ### Voice Queries and Backlinks

    The growth of voice search will be altering the method information is
    accessed. This is expected to impact backlink acquisition by changing emphasis
    to conversational language and long-tail search terms.

    ## Final Thoughts

    Successful link building is a crucial part of SEO. By grasping the importance of high-quality links,
    applying different methods, and continuously measuring your efforts, you can boost your site's ranking and reach
    greater rankings on Google.

    By staying updated with the newest changes and avoiding typical
    errors, you will operate in the dynamic world of website optimization and achieve sustainable performance.

  • Brianbrogy

    Brianbrogy - Sunday, 07 July 2024

    [u][b] Здравствуйте![/b][/u]
    Купить диплом ВУЗа.
    Мы предлагаем купить диплом в высоком качестве, неотличимый от оригинала без использования специального оборудования и квалифицированного специалиста.
    [b]Где приобрести диплом специалиста?[/b]
    http://ilovehabbo.bbon.ru/viewtopic.php?id=1459#p28856
    [b]Удачи![/b]

  • Brianbrogy

    Brianbrogy - Sunday, 07 July 2024

    [u][b] Добрый день![/b][/u]
    Заказать диплом о высшем образовании.
    Мы предлагаем заказать диплом высочайшего качества, который не отличить от оригинала без участия специалистов высокой квалификации со сложным оборудованием.
    [b]Где заказать диплом специалиста?[/b]
    http://astroroleplay.getbb.ru/ucp.php?mode=login&sid=4a3103b69803bbed24ac4c754df51dd7
    [b]Успехов в учебе![/b]

  • Brianbrogy

    Brianbrogy - Sunday, 07 July 2024

    [u][b] Добрый день![/b][/u]
    Приобрести диплом университета.
    Мы предлагаем заказать диплом в высочайшем качестве, неотличимый от оригинального документа без участия специалистов высокой квалификации со сложным оборудованием.
    [b]Где приобрести диплом по нужной специальности?[/b]
    http://art-gymnastics.ru/users/54
    [b]Успешной учебы![/b]

  • Kevinciz

    Kevinciz - Sunday, 07 July 2024

    Hello everyone! I go by the name Admin Read:

    Ищете интернет-магазин, в котором приоритет отдается вашим потребностям? Vk2.at - это решение! Благодаря разнообразным категориям и уникальным предложениям Krn гарантирует, что вы сможете найти то, что нужно. Наслаждайтесь простой регистрацией и комфортными оплатами в Bitcoin. Присоединяйтесь к кракен уже сегодня и исследуйте новые горизонты.

    Krn:https://xn--krakn4-l4a.com

  • 라이브 카지노

    라이브 카지노 - Sunday, 07 July 2024

    Choosing Very Best Slot Punches 라이브 카지노

  • Eduardomaips

    Eduardomaips - Sunday, 07 July 2024

    Howdy! [url=https://mexicopharm.top/#]pcm pharmacy pfizer viagra[/url] good web page.

  • Kevinciz

    Kevinciz - Sunday, 07 July 2024

    Hi all! My name is Moderator Read:

    Вы вы изнемогли от постоянных поисков и неудачных покупок? Kraken onion link kraken поможет в ам упростить процесс покупки! Благодаря удобному интерфейсу и разнообразию товаров vk4.at гарантирует, что вы найдете именно то, что ищете. Наслаждайтесь простой регистрацией и безопасными платежами с помощью криптовалюты Bitcoin. Присоединяйтесь к кракен сайт зеркало рабочее прямо сейчас и делайте покупки с удовольствием и уверенностью.

    кракен сайт зеркало рабочее:https://xn--krakn4-l4a.com

  • Harrysmata

    Harrysmata - Sunday, 07 July 2024

    The latest top football news https://football-kz.kz today. Interviews with football players, online broadcasts and match results, analytics and football forecasts, photos and videos.

  • Charlestom

    Charlestom - Sunday, 07 July 2024

    Latest news and information about the NBA https://basketball-kz.kz in Kazakhstan. Hot stories, player transfers and highlights. Watch the NBA world with us.

Leave a comment

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