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)

34449 comments

  • เว็บสล็อตใหม่ล่าสุด

    เว็บสล็อตใหม่ล่าสุด - Wednesday, 27 March 2024

    พึ่งทดลองเล่นที่เว็บสล็อตใหม่ล่าสุด เว็บตรงแตกง่ายแล้วก็ตรึงใจมาก!

    พวกเขามีเกมสล็อตออนไลน์แตกง่ายใหม่ๆที่เปิดตัวอยู่เป็นประจำ ทำให้ตื่นเต้นกับเว็บสล็อตใหม่ล่าสุด เว็บตรง วอเลทรวมทั้งอัปเดตล่าสุดตรงนี้ ฉันชอบเว็บสล็อตแตกดีที่สุดเพราะว่าช่วยเพิ่มโอกาสชนะของฉัน และยังได้เพลิดเพลินใจกับสล็อตออนไลน์
    มือถือได้เงินจริงใหม่ๆที่เล่นได้สบายทุกที่ที่ต้องการ สล็อตเว็บใหม่ฟรีเครดิตที่พวกเขาให้มาช่วยให้ฉันได้ทดลองเล่นหลายเกมโดยไม่ต้องวิตกกังวลเรื่องงบประมาณ อีกทั้งยังมีโบนัสเว็บใหม่ แจกเครดิตฟรี 2024ที่น่าดึงดูด ถ้าคุณกำลังมองหาสล็อตที่ดีที่สุดพร้อมโปรโมชั่นสุดคุ้ม เสนอแนะให้ลองดูที่นี่เลย!

  • JamesCrivy

    JamesCrivy - Wednesday, 27 March 2024

    Boomerang Casino ist ein Online-Casino, das mit seinem einzigartigen Konzept und seiner Vielfalt an Spielen Spieler aus der ganzen Welt anspricht. In diesem Artikel werden wir eine eingehende ГњberprГјfung des Boomerang Casinos durchfГјhren und die verschiedenen Aspekte des Online-Casinos diskutieren.

    Das erste, was auffällt, wenn man das Boomerang Casino betritt, ist die benutzerfreundliche Website. Die Navigation ist einfach und übersichtlich, so dass neue Spieler sich leicht zurechtfinden können. Das Casino bietet eine große Auswahl an Spielen von renommierten Softwareanbietern wie NetEnt, Microgaming, Play'n GO und vielen anderen. Es gibt eine Vielzahl von Spielautomaten, Tischspielen, Live-Casino-Spielen und Jackpot-Spielen zur Auswahl, so dass für jeden Geschmack etwas dabei ist.

    Ein weiterer Pluspunkt des Boomerang Casinos ist die großzügige Bonuspolitik. Neue Spieler können von einem Willkommensbonus profitieren, der Freispiele und Bonusgeld umfasst. Darüber hinaus gibt es regelmäßige Promotionen und Sonderangebote für Stammkunden, die für zusätzliche Unterhaltung und Gewinnchancen sorgen.

    Ein wichtiger Aspekt, den wir bei unserer ГњberprГјfung des Boomerang Casinos berГјcksichtigen mГјssen, ist die Sicherheit und Fairness des Casinos. Das Casino verfГјgt Гјber eine Lizenz der Malta Gaming Authority, was bedeutet, dass es strenge Vorschriften und Standards erfГјllen muss, um seine Lizenz zu behalten. DarГјber hinaus verwendet das Casino eine sichere SSL-VerschlГјsselungstechnologie, um sicherzustellen, dass alle Transaktionen sicher und geschГјtzt sind.

    Zusammenfassend lässt sich sagen, dass das Boomerang Casino eine gute Wahl für Spieler ist, die ein erstklassiges Online-Casino-Erlebnis suchen. Mit seiner Vielzahl von Spielen, großzügigen Boni und sicherer Spielumgebung hat das Casino viel zu bieten. Wir empfehlen allen Spielern, einen Blick auf das Boomerang Casino zu werfen und ihr Glück zu versuchen.
    https://boomerangcasino.one/

  • ErichExcam

    ErichExcam - Wednesday, 27 March 2024

    ipobuzz.online [url=https://ipobuzz.online]ipobuzz.online[/url] ipobuzz.online
    ipobuzz.online ipobuzz.online ipobuzz.online

  • Tabatha

    Tabatha - Wednesday, 27 March 2024

    Learn more to discover ways to wear lingerie below clothes!
    It takes fairly a little bit of courage and confidence to put on sheer lace teddy.

    You presumably can go for a cushty ruffled bra, select a push-up bra for maximum effect, or go
    for a easy yet elegant lace high. Choosing lingerie generally is a enjoyable and thrilling experience, nevertheless it will also be overwhelming if you are unsure what to look for.
    Consider choosing colours and patterns that flatter your skin tone and make you
    are feeling assured and beautiful. Your body form should be celebrated, and NK IMODE has excessive-quality
    silk lingerie for each form to emphasize what you love about
    yourself and make you feel confident. It isn't only for the sexy physique that doesn't have a
    love handle here or there. Highlight all the great features you've
    gotten! 2. Accentuate your finest features by selecting types
    that highlight your belongings. As soon as you already know
    your body sort, you'll be ready to select lingerie kinds and cuts that
    accentuate your finest options and make you feel assured
    and stunning. Allow us to know in the comments what piece of clothing -or our lingerie!

  • Azucena

    Azucena - Wednesday, 27 March 2024

    A lady can actually feel extraordinarily sexy and look really nice when she wears lingerie.
    This fashion it is feasible for you to to achieve an extremely enticing look.
    This fashion you will certainly find yourself terrifying your
    potential boyfriend. Better nonetheless, in case you resolve to purchase from online stores, then you
    may find an enormous collection of bras, panties, nightwear, shapewear & different accessories at interesting costs.
    The only downside is that you can’t see what’s inside,
    but if you’re fortunate sufficient to look out a large selection (or can sew them
    your self) you should buy lingerie bags in numerous colours or prints to
    match what’s inside. The largest problem that a girls face
    is in relation to lingerie procuring as they don't discover
    excellent measurement, design, pattern and in the event that they discover then it would not at all times
    in price range. So to save heaps of heaps of your self from such horror you must
    consider rethinking in regards to the matter and start purchasing for the ones that
    suit your dress the perfect. Regardless of if it's your first or hundredth date together, he is at all times going to look up to you and your dressing sense.

  • ErichExcam

    ErichExcam - Wednesday, 27 March 2024

    ikkana.online [url=https://ikkana.online]ikkana.online[/url] ikkana.online
    ikkana.online ikkana.online ikkana.online

  • ErichExcam

    ErichExcam - Wednesday, 27 March 2024

    ifyti.online [url=https://ifyti.online]ifyti.online[/url] ifyti.online
    ifyti.online ifyti.online ifyti.online

  • Candace

    Candace - Wednesday, 27 March 2024

    You will be amazed at how designer lingerie in the proper fit, fashion and color
    will make you are feeling! We'll then send you a affirmation e-mail asking you to
    confirm that you simply simply simply want to obtain future newsletters by clicking on an acceptable link.
    Is one in a temper to sit back and chill out then relish in the sublime fun of the supportive bras online.
    Triangle (Pear): Lacy negligees with balconette bras, bustier shapewear, ruffled bras with bikini panties, and strapless bras with seamless panties are perfect
    for balancing the proportions of a triangle physique shape.
    Hourglass: Garter belts, teddies, corsets, excessive-waisted panties,
    and lace bras complement the natural curves of an hourglass figure.

    Inverted Triangle (Carrot): Halter necks, teddies, bralettes with lace panties, and
    matching cami sets help create an illusion of an hourglass silhouette for inverted triangle body types.
    Every physique form has unique characteristics,
    and figuring out which category you fall into can allow you to make
    knowledgeable decisions when shopping for lingerie.

  • Capacity building

    Capacity building - Wednesday, 27 March 2024

    Everything is very open with a precise explanation of the challenges.
    It was definitely informative. Your website is useful.
    Thank you for sharing!

  • Взломанная Автош - Российские автомобили Мод Меню

    Взломанная Автош - Российские автомобили Мод Меню - Wednesday, 27 March 2024

    Что же вы получите по ссылке - Взломанная Автош - Российские автомобили Мод Меню

    Описание игры:

    Новый обзор на Автош - Российские автомобили на Андроид от толкового издателя.
    Основные параметры:
    1. Объем незанятой памяти телефона - 330 MB, освободите память от ненужных игр, файлов или программ для корректного старта.
    2. Операционная система - Android 4+, советуем проверить параметры вашего устройства так как, из-за несоответствия требованиям, могут быть проблемы с установкой.
    3. Популярность - на данный момент она составляет 46657846, о рейтинге приложения точно показывает количество запусков, помогите стать еще популярней.
    4. Дата обновления - на портале опубликована версия приложения от 19.12.23 - загрузите приложение, если вы запустили старую версию.
    Программа выполняет свою главную функцию, помогает вам в решеннии поставленных задач и оптимизирует ваше время. Важнейшее несходство Автош - Российские автомобили - Без рекламы - вспомогательные возможности, которые улучшат программный процесс, а вам не нужно мучаться с рекламой. Что касается графической оболочки, то все на отличном уровне, точно так же, как и музыка. Вам решать - использовать стандартную версию или загрузить МОД. Не забывайте открывать наш сайт для загрузки отличных приложений.

    Доступная ссылка:

    http://galaxy-gamers.ru/1818-skachat-vzlomannuyu-avtosh-rossiyskie-avtomobili-mod-vse-otkryto-na-android.html

    Рекомендуемые сайты:

    [url=https://xn--80ailgmbifcmm.xn--p1ai/index.php/component/k2/item/1]Join Clash взлом - Лучший выбор для игры![/url] [url=http://www.gensdumonde.co.kr/bbs/board.php?bo_table=free&wr_id=360792]Скачать American Bl[/url] [url=http://xn--v69ao70b5ki3wj.com/bbs/board.php?bo_table=sub502&wr_id=121717]Slink.io - Игры со[/url] 6c6f454

Leave a comment

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