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)

34592 comments

  • how to buy generic super p-force without insurance

    how to buy generic super p-force without insurance - Monday, 01 July 2024

    can i order cheap super p-force for sale

  • Robertpoest

    Robertpoest - Monday, 01 July 2024

    Declan Rice https://declan-rice.prostoprosport-fr.com Footballeur anglais, milieu defensif du club d'Arsenal et de l'equipe nationale equipe d'Angleterre. Originaire de Kingston upon Thames, Declan Rice s'est entraine a l'academie de football de Chelsea des l'age de sept ans. En 2014, il devient joueur de l'academie de football de West Ham United.

  • Arnulfojop

    Arnulfojop - Monday, 01 July 2024

    Declan Rice https://declan-rice.prostoprosport-fr.com Footballeur anglais, milieu defensif du club d'Arsenal et de l'equipe nationale equipe d'Angleterre. Originaire de Kingston upon Thames, Declan Rice s'est entraine a l'academie de football de Chelsea des l'age de sept ans. En 2014, il devient joueur de l'academie de football de West Ham United.

  • MichaelSkype

    MichaelSkype - Monday, 01 July 2024

    Best Antivirus Software of 2024: Comprehensive Guide and Recommendations

  • cineteck.net

    cineteck.net - Monday, 01 July 2024

    What's The Current Job Market For Double Glazed Window Repairs Professionals?
    double glazed Window repairs - cineteck.net -

  • Jasonhoita

    Jasonhoita - Monday, 01 July 2024

    Hello! [url=http://xlppharm.com/#online-pharmacy-no-prescription-needed]best canadian online pharmacy reviews[/url] great internet site.

  • Tessa

    Tessa - Monday, 01 July 2024

    There's A Good And Bad About Drip Coffee filter coffee makers
    (Tessa)

  • Gregory

    Gregory - Monday, 01 July 2024

    Добро пожаловать на наш сайт! Решения для ваших финансовых нужд - в одном клике!
    Мы предлагаем широкий спектр финансовых продуктов, включая кредиты, банковские карты и займы, чтобы помочь вам достичь ваших целей и воплотить мечты в реальность.
    бесплатная дебетовая карта
    Ищете средства для покупки жилья, автомобиля или образования? Наши кредитные программы разработаны с учетом ваших потребностей. Оформите кредит прямо сейчас, выбрав подходящие условия и срок погашения.
    Наши банковские карты предоставляют:
    Удобство безналичных расчетов
    Щедрые бонусы и привилегии
    Оформите карту онлайн и получите доступ к кэшбэку, скидкам у партнеров и программе лояльности. Выберите карту с оптимальными лимитами и условиями обслуживания для себя.
    срочно займ
    Нужны деньги до зарплаты или на неожиданные расходы? Наши займы – это быстро и удобно. Мы предлагаем прозрачные условия и мгновенное одобрение заявок, чтобы вы могли решать финансовые вопросы без задержек.
    Почему выбирают нас?
    Простота и Удобство: Оформите заявку онлайн за несколько минут.
    Надежность и Прозрачность: Мы гарантируем честные условия и отсутствие скрытых комиссий.
    Индивидуальный Подход: Мы учитываем ваши личные обстоятельства и предлагаем оптимальные условия.
    Не упустите шанс улучшить свою финансовую ситуацию! Оформите кредит, банковскую карту или займ на нашем сайте уже сегодня и ощутите все преимущества работы с надежным финансовым партнером.
    Переходите на наш сайт и делайте шаг к своей мечте!

  • aviator game

    aviator game - Monday, 01 July 2024

    Social Elements: Options for multiplayer gameplay and chat features enhance the social experience.
    aviator game

  • Bomeszet

    Bomeszet - Monday, 01 July 2024

    Lorem Ipsum has been the industry's standard dummy text https://onderhoudsbedrijfpeerdeman.nl/jeyjnr of type and scrambled it to make a type specimen book.

Leave a comment

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