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)

34350 comments

  • generic cialis cost

    generic cialis cost - Wednesday, 13 March 2024

    Way cool! Some extremely valid points! I appreciate you penning this article and the rest of the website is
    extremely good.Best buy generic cialis cost Datenrettungsdienst:
    Cheap cialis dapoxitine cheap online

  • Williameluse

    Williameluse - Wednesday, 13 March 2024

    1. **Шлифовка бани из бруса**: Наш сайт предлагает полный спектр услуг по шлифовке бань из бруса, позволяя вам восстановить естественную красоту и продлить срок службы вашей деревянной конструкции. Узнайте о лучших методах шлифовки и подберите оптимальные решения для вашего объекта. https://qooh.me/izbuberu


    2. **Шлифовка дома из бревна**: Мы специализируемся на качественной шлифовке домов из бревна, применяя только проверенные технологии и материалы. Наш подход поможет вам восстановить первозданный вид деревянных поверхностей и защитить их от внешних воздействий. https://sketchfab.com/izbuberu


    3. **Шлифовка дома из бруса**: На нашем сайте вы найдете все необходимое для эффективной шлифовки домов из бруса. Мы предлагаем как услуги профессионалов, так и советы для тех, кто хочет выполнить работу самостоятельно. https://www.bandlab.com/izbuberu


    4. **Герметик для деревянного дома**: Выбор правильного герметика критически важен для обеспечения долговечности и сохранности вашего деревянного дома. Мы предлагаем широкий ассортимент продуктов для любых типов древесины и условий эксплуатации. https://www.diggerslist.com/izbuberu/about


    5. **Теплый шов для деревянного дома**: Улучшите теплоизоляцию вашего дома с помощью современных решений для теплых швов. Наши рекомендации и продукты помогут вам значительно снизить теплопотери и сэкономить на отоплении. https://www.quia.com/profiles/izbube

  • Wileyzooke

    Wileyzooke - Wednesday, 13 March 2024

    6. **Проекты домов из бревна**: Ищете уникальный проект для вашего будущего дома из бревна? У нас есть множество готовых решений от классики до современных дизайнов, которые можно адаптировать под ваши индивидуальные потребности и пожелания. https://hypothes.is/users/izbuberu


    7. **Проекты бань из бревна**: Мечтаете о бане из натурального бревна? Наш сайт предлагает эксклюзивные проекты бань различных стилей и размеров, которые станут настоящим украшением вашего участка. https://pubhtml5.com/homepage/vcvrh/


    8. **Наличники для деревянного дома**: Добавьте изысканности и уникальности внешнему виду вашего деревянного дома с помощью наших наличников. Мы предлагаем изделия из высококачественных материалов, которые подчеркнут красоту и стиль вашего дома. https://pubhtml5.com/homepage/vcvrh/


    9. **Уход и защита деревянных поверхностей**: На нашем сайте вы найдете все необходимое для эффективного ухода и защиты деревянных поверхностей вашего дома или бани. От средств для глубокого питания древесины до советов по предотвращению появления вредителей. https://fliphtml5.com/homepage/vulvu/izbuberu024/


    10. Экологически чистые материалы для строительства и отделки: Мы придаем большое значение использованию экологически чистых материалов в строительстве и отделке деревянных домов и бань. Узнайте больше о наших продуктах, которые обеспечивают не только красоту, но и безопасность для вашего здоровья и окружающей среды. https://www.deviantart.com/izbuberu

  • merijahera

    merijahera - Wednesday, 13 March 2024

    "Get Out Alive" is a high-energy dance track that is perfect for parties, clubs, and festivals. With its infectious beats, catchy melodies, and uplifting lyrics, the song is guaranteed to get everyone on their feet and dancing the night away. The production quality is top-notch, with crisp, clear sound and expertly crafted arrangements that showcase the group's musical talent.

    [url=https://globexmusic.com/get-out-alive-a-catchy-dance-track/]
    dance music artists[/url]


    dance music songs

    https://globexmusic.com/get-out-alive-a-catchy-dance-track/

  • رمز ارز ریپل

    رمز ارز ریپل - Wednesday, 13 March 2024

    I visited multiple sites but the audio quality for audio songs existing at this site is genuinely fabulous.

  • exness

    exness - Wednesday, 13 March 2024

    My spouse and I stumbled over here from a different website and thought I should check things out.
    I like what I see so now i am following you. Look forward
    to looking at your web page yet again.

  • pamtadewk

    pamtadewk - Wednesday, 13 March 2024

    [url=https://film-2024.com/]
    фильмы вышедшие в качестве 2024[/url]


    смотреть фильмы в качестве бесплатно 2024

    https://film-2024.com/

  • website

    website - Wednesday, 13 March 2024

    {Looking for a variety of products? {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site |kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market
    tor |kraken link mirror|kraken site darknet market|kraken darknet tor|kraken mirror tor|kraken platform tor} - your choice!
    {It only takes a few minutes to register on our marketplace|It only takes a few minutes of
    your time to register on our shopping portal|It only takes a few minutes to
    complete the registration process on our marketplace} and you
    will find yourself in a world of unique products and
    categories. Each user will find what he needs.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor|kraken link mirror|kraken site darknet market|kraken darknet tor|kraken mirror
    tor|kraken platform tor} presents products that are rarely found on the open Internet.

    Top up your balance conveniently - use a bank card or Bitcoin cryptocurrency.
    {Enjoy the security and innovation of our marketplace|Enjoy
    the security and cutting-edge technology of our platform|Discover the security
    and innovation of our marketplace}, where every purchase takes your online shopping experience to the next level.|Tired
    of limited choices online? {link to kraken|kraken tor|kraken darknet|kraken site
    link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site |kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor |kraken link
    mirror|kraken site darknet market|kraken darknet tor|kraken mirror tor|kraken marketplace tor} provides unique products and categories.

    {Register on our platform using only a login and password|Create an account on our platform with just a login and password|Join our platform by registering only with a login and password} -
    without email. Protect your account with Google's advanced TFA
    security system. {Pay for purchases in the way that is most convenient for you|Pay for your purchases in the way
    that is most convenient for you|Make payments for purchases in the way that
    is most convenient for you} - from your account balance or bank card.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet to tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet market tor|kraken link mirror|kraken darknet market site|kraken darknet tor|kraken mirror tor|kraken marketplace tor}, every purchase
    becomes part of your hassle-free online experience, filled with uniqueness and reliability.|Looking for
    security when shopping online ? Kraken guarantees the security of every transaction. Register at
    {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site mirror|kraken6 at|2kmp|kraken tor|kraken onion| kraken site|kraken darknet market|kraken link market|link to kraken tor|kraken tor|kraken8 at|kraken entrance|kraken darknet marketplace|kraken onion|kraken darknet
    in tor|kraken darknet|kraken 2kmp|kraken darknet market link|kraken darknet
    market tor|kraken link mirror|kraken site darknet
    market|kraken darknet tor|kraken mirror tor|kraken platform tor} and
    enjoy control over your account. {You can access the site safely using the Tor Browser or a VPN|The site is secure whether you use the Tor Browser
    or a VPN|To access the site safely, use the Tor Browser or connect via a VPN}.
    {Choose a city to pick up your purchases from almost anywhere|Choose
    almost any city convenient for you to receive your purchases|Choose a city
    to pick up your orders from a location convenient to you}.
    At {link to kraken|kraken tor|kraken darknet|kraken site link|kraken site
    mirror|kraken6 at|2kmp|kraken tor|kraken onion|kraken site|kraken darknet market|kraken link market|link

  • https://moonlitsilver.site/

    https://moonlitsilver.site/ - Wednesday, 13 March 2024

    Good day! This is my first visit to your blog!
    We are a collection of volunteers and starting a new project in a community in the same niche.
    Your blog provided us valuable information to work on. You have done
    a marvellous job!

  • https://igram.world/

    https://igram.world/ - Tuesday, 12 March 2024

    Ya, Anda dapat menggunakan metode ini untuk mengunduh video dari akun pribadi, asalkan video tersebut tidak memiliki pengaturan privasi yang menghalangi pengunduhan.

Leave a comment

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