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)

31149 comments

  • Roof leak solutions

    Roof leak solutions - Saturday, 09 March 2024

    Las Vegas Leak Repair is unparalleled as the leading plumbing
    service in Las Vegas. With decades of expertise, we specialize in all aspects
    of leak repair, from water leak detection to fixing
    leaking pipes and solving roof leaks.

    When it comes to plumbing repair services, residents
    and commercial clients alike trust us for quick and effective
    solutions. Our employment of cutting-edge leak
    detection methods ensures that we detect and repair leaks quickly,
    reducing water damage and saving water.

    Additionally, our expertise in waterproofing, drainage system repair,
    and pipe replacement positions us as the go-to choice for
    all your plumbing needs. Whether you're dealing with a
    faucet leak, sewer line problem, or foundation leak,
    Las Vegas Leak Repair is equipped to handle the job.


    We are committed to providing top-notch service and customer satisfaction is evident in every job
    we undertake. From fixing bathroom leaks to
    kitchen sink leaks and water damage restoration, we provide
    comprehensive solutions that address your needs and surpass your expectations.


    Choose Las Vegas Leak Repair for dependable, high-quality plumbing
    services in Las Vegas. Let us show you why we are the best choice for leak repair and beyond.

  • Williameluse

    Williameluse - Saturday, 09 March 2024

    6. "Вдохновение на каждый день: Освежите свои будни яркими вкусами домашней выпечки! Наши рецепты подарят вам новые идеи для приготовления сладких угощений на любой случай. Приготовьте что-то особенное каждый день вместе с нами!" https://www.designspiration.com/bakingacademyru/


    7. "Пекарня у вас дома: Изучайте секреты успешной домашней выпечки на нашем сайте! Мы собрали лучшие рецепты для вас, чтобы каждый ваш эксперимент в пекарне был удачным. Превратите свой дом в настоящий кулинарный рай вместе с нами!" https://sketchfab.com/bakingacademy


    8. "Сладкие истории: Погрузитесь в мир вкусов с нашими рецептами домашней выпечки! От простых бисквитов до изысканных тортов - у нас есть все, чтобы порадовать ваш аппетит и вдохновить на новые кулинарные подвиги. Приготовьте вместе с нами что-то волшебное!" https://www.designspiration.com/bakingacademyru/


    9. "Шедевры домашней кухни: Наши рецепты помогут вам создать настоящие шедевры из домашней выпечки! Неважно, любите ли вы классические рецепты или экспериментируете с новыми вкусами - у нас вы найдете все необходимое для творчества на кухне. Дайте волю своим кулинарным фантазиям с нашими рецептами!" https://www.weddingbee.com/members/bakingacademy/


    10. "Вкус детства: Откройте для себя новые идеи для домашней выпечки и вспомните вкус детства с нашими рецептами! Мы собрали для вас лучшие рецепты традиционных десертов, которые придутся по вкусу всей вашей семье. Приготовьте что-то особенное для своих близких с нами!" https://www.curioos.com/bakingacademy

  • personal injury attorney

    personal injury attorney - Saturday, 09 March 2024

    If you've been a victim of a car accident in Summerlin ,
    NV, you know how stressful the aftermath can be. From dealing with injuries
    to navigating the complex legal system, it's crucial to have the right support on your side.
    That's where the Best Summerlin Car Accident Lawyers come in, offering unparalleled expertise as personal injury
    lawyers to advocate for your justice and secure the compensation you are entitled to.


    Why Choose the Best Summerlin Car Accident Lawyers?


    These legal professionals are not just any attorneys; they are experts
    in the field of personal injury, particularly auto accidents.
    With a deep understanding of Nevada's laws and dedication towards their clients, they ensure that you receive the best possible legal representation.

    Expertise in Auto Accidents: They possess extensive knowledge in handling accident-related injuries, making them adept at navigating the
    intricacies of injury claims.

    Personalized Legal Advice: Each case is treated with the utmost care, providing tailored legal
    advice to meet your specific needs.

    Aggressive Representation: Whether it's insurance negotiations or
    courtroom litigation, these attorneys are relentless in pursuing the
    justice and compensation you deserve.

    Comprehensive Support: From gathering evidence to managing all legal paperwork,
    they offer comprehensive support throughout the entire process.


    No Win, No Fee: Most of these lawyers operate on a contingency basis,
    meaning you don't pay unless they win your case.

    Securing Your Future

    The aftermath of a car accident can be life-changing, but with the
    BestSummerlin Car Accident Lawyers by your side, you can focus on your
    recovery while they handle the legal aspects. Their commitment
    to obtaining the maximum compensation for your injuries and
    losses ensures that your future is protected.


    Conclusion

    In the bustling city of Summerlin, NV, where car accidents are unfortunately
    common, having the right legal representation is crucial.

    The Best Summerlin Car Accident Lawyers are not just personal injury attorneys;
    they are your advocates, fighting tirelessly to ensure
    you receive the justice and compensation you deserve. If you're in need of legal assistance
    following an auto accident, look no further than these exceptional professionals.

  • https://techjubilee.site/

    https://techjubilee.site/ - Saturday, 09 March 2024

    Hi there, I enjoy reading all of your post. I wanted to write a little comment to support you.

  • Скачать Шашки на Андроид

    Скачать Шашки на Андроид - Saturday, 09 March 2024

    Что же вы откроете по ссылке - Скачать Шашки на Андроид

    Описание игры:

    Сегодня на обзоре обсудим Шашки на Андроид от классного коллектива.
    Системные параметры:
    1. Размер незанятой памяти телефона - 252 MB, очистите память от неиспользуемых игр, файлов или программ для корректного старта.
    2. Операционная система - Android 5+, советуем посмотреть параметры вашего телефона потому что, из-за несоответствия требованиям, обнаружатся ошибки при установке.
    3. Популярность - по статистике сервиса она составляет 63704013, о славе приложения точно показывает число установок, внесите свой вклад в популярность.
    4. Дата обновления - на странице загружена версия приложения от 25.12.23 - установите приложение, если вы установили старую версию.
    Программа реализует свою главную функцию, содействует вам в решеннии поставленных задач и экономит ваше время. Основное отличие Шашки - Полная версия - открытые перспективы, которые оптимизируют программный процесс, а вам не нужно тратить много времени. Что касается графического ядра, то все на крутом уровне, точно так же, как и мелодии. Вам решать - использовать обычную версию или использовать МОД. Не забывайте открывать наш портал для обновления различных приложений.

    Прямая ссылка:

    http://apk-gamer.ru/2930-vzlomannaya-igra-shashki-vzlom-na-monety-na-android.html

    Рекомендуемые сайты:

    [url=http://linbae.cafe24.com/bbs/board.php?bo_table=3_1_1&wr_id=84341]Скачать Free Fire M[/url] [url=http://eydosdigital.com/en/blog/item/8-post-numero-2-en]Скачать Goddess: Primal Chaos - RU Free 3D Action MMORPG MOD разблокировано - Самый популярный МОД в сети![/url] [url=http://www.niedertor.it/gaestebuch-en.php]Free Fire apk - Невероятные читы и взломы![/url] 2c2da11

  • Healthy Visions CBD Scam

    Healthy Visions CBD Scam - Saturday, 09 March 2024

    The market for cannabidiol (CBD) products has witnessed rapid growth in recent years, driven by claims of potential health benefits
    and an increased acceptance of cannabis-derived products.

  • best walmart shampoo for oily hair

    best walmart shampoo for oily hair - Saturday, 09 March 2024

    While adding oils to your roots may exacerbate the
    issue, don’t forget the rest of your strands.

  • Mountainside On-Site Massage Therapy

    Mountainside On-Site Massage Therapy - Saturday, 09 March 2024

    I can't consider all the things we get annoyed about in our lives matters.
    Constantly put in thinking about the assorted things that we deal with just about every moment is in fact undoubtedly necessary, as no other person will face existence
    for us. I feel that people young and old should be more sane.
    Science is wonderful, but so much of what we think about is so abstract.
    Having a cup of kava is a zen process that takes one back to the present instant.
    We have to be more in the here and now, without being overcome by
    existence and the drama we deal with every day.

  • Williameluse

    Williameluse - Saturday, 09 March 2024

    6. "Navigate Streets with Ease: Our reverse street directory simplifies navigation by providing detailed maps and addresses. Say goodbye to getting lost – find your way effortlessly." https://www.furaffinity.net/user/homemetry


    7. "Find Your Next Destination: Explore our street address directory to locate businesses, landmarks, and residential addresses with ease. Navigate any city like a local!" https://www.bigbasstabs.com/profile/85855.html


    8. "Your Gateway to Property Information: Dive into our comprehensive property directory to find listings, prices, and neighborhood insights. Your next real estate venture starts here." https://www.easyfie.com/homemetry


    9. "Uncover Property Details: With our real estate directory, access a wealth of information on properties, including amenities, pricing, and contact details. Your perfect home is just a click away." https://babelcube.com/user/daniel-sainz


    10. "Navigate Any Neighborhood: Our reverse address directory empowers you to explore neighborhoods in-depth. From property values to nearby amenities, make informed decisions effortlessly." https://willysforsale.com/author/homemetry/

  • Games for Android download for free without cache

    Games for Android download for free without cache - Saturday, 09 March 2024

    Hi! I just wanted to ask if you ever have any
    trouble with hackers? My last blog (wordpress) was hacked and I ended up losing a few months of
    hard work due to no backup. Do you have any methods to stop hackers?

Leave a comment

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