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)

42324 comments

  • CROSS COUNTRY MOVERS - Movers - Brooklyn, New York

    CROSS COUNTRY MOVERS - Movers - Brooklyn, New York - Sunday, 10 March 2024

    http://www.yelp.com/biz/california-new-york-express-moving-east-rutherford
    Top 10 Best Long Distance Moving Companies Near New York, New York

    These are in fact wonderful ideas in concerning blogging.

    You have touched some good factors here. Any way keep
    up wrinting.

  • canada pharmaceuticals online

    canada pharmaceuticals online - Sunday, 10 March 2024

    Hello are using Wordpress for your site platform? I'm new to the
    blog world but I'm trying to get started and create my own. Do you need
    any html coding knowledge to make your own blog?
    Any help would be really appreciated!

  • space exploration transformation

    space exploration transformation - Sunday, 10 March 2024

    Hey there! This is my first comment here so I just wanted to give a quick shout
    out and tell you I genuinely enjoy reading through your articles.
    Can you suggest any other blogs/websites/forums that deal with the same subjects?
    Thank you!

  • Sewer line repair

    Sewer line repair - Sunday, 10 March 2024

    When it comes to plumbing services, Preferred Plumbers
    are the top choice for several key reasons. Considering our extensive
    experience and dedication to excellence, we're confident
    in stating that we're the #1 choice when you need a plumber.
    Here's why:

    Broad Service Spectrum
    Our team is adept at a wide array of plumbing services, from leak detection and repairing pipes to cleaning drains and installing faucets.
    Whether you need sewer line repair or your water heater fixed, we have the expertise
    to address all your plumbing needs.

    24/7 Availability
    Plumbing emergencies don't wait for convenient times, and neither do we.
    Preferred Plumbers is available 24/7 to ensure that plumbing emergencies are resolved quickly,
    preventing further issues and getting your peace of mind.


    Focus on Customer Satisfaction
    At our company, customer satisfaction is our top priority.
    We are committed to provide tailored solutions that satisfy your specific needs, making sure that you're completely
    satisfied with our work.

    Superior Quality
    Workmanship is not negotiable at our firm. We use top-quality materials and advanced methods to provide durable
    repairs and installations. Our aim is to provide
    services that stand the test of time.

    Transparent Pricing
    Being aware of the cost of plumbing services upfront is essential, which is why Preferred Plumbers ensure transparent pricing.
    We'll inform you about the cost before we start, with no surprises looming.


    Fully Licensed and Insured
    To protect you, our team is both licensed and insured.
    This indicates that our work meets industry standards and you're protected in the unlikely scenario something goes wrong.


    Opting for us means choosing a team that is dedicated
    to quality. We do more than just repair leaks; we're partners in maintaining the well-being of your plumbing system.
    Get in touch today to experience why Preferred Plumbers
    are the #1 choice when you need a plumber.

  • Угадай ютубера !

    Угадай ютубера ! - Sunday, 10 March 2024

    Good day! I could have sworn I've been to this site before but after
    checking through some of the post I realized it's new to me.

    Nonetheless, I'm definitely happy I found it and I'll be bookmarking and checking back frequently!

  • https://sparklingzenith.site/

    https://sparklingzenith.site/ - Sunday, 10 March 2024

    I am truly grateful to the owner of this web site who has shared this great post at
    at this time.

  • Скачать Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто MOD Много денег

    Скачать Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто MOD Много денег - Sunday, 10 March 2024

    Что же вы найдете по ссылке - Скачать Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто MOD Много денег

    Описание игры:

    Представляем вашему вниманию Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто на Андроид от классного автора.
    Основные параметры:
    1. Объем свободной памяти телефона - 143 MB, очистите память от старых игр, файлов или программ для успешного запуска.
    2. Операционная система - Android 5+, рекомендуем рассмотреть параметры вашего устройства потому что, из-за несоответствия требованиям, будут проблемы с установкой.
    3. Популярность - по состоянию на сегодня она составляет 58358834, о крутости приложения четко указывает число установок, сделайте его популярнее.
    4. Дата обновления - на сайте загружена версия приложения от 23.12.23 - загрузите приложение, если вы запустили старую версию.
    Программа выполняет свою ключевую функцию, содействует вам в решеннии поставленных задач и экономит ваше время. Главное несходство Взломанная Mad Truck Challenge - Racing на Андроид - Мод все открыто - Premium - вспомогательные перспективы, которые облегчат программный процесс, а вам не нужно искать полную версию. Что касается графической оболочки, то все на отличном уровне, точно так же, как и мелодии. Вам выбирать - использовать простую версию или использовать МОД. Не забывайте открывать наш сайт для установки различных приложений.

    Переходите по ссылке:

    http://android-gamerz.ru/877-vzlomannaya-mad-truck-challenge-racing-na-android-mod-vse-otkryto.html

    Рекомендуемые сайты:

    [url=https://xn--h1afcilcfi8h.xn--p1ai/component/k2/item/61-asdasd/]PaoPao классический MOD Разблокировано - Отличный выбор гемера![/url] [url=https://www.piotrowscydesign.pl/component/k2/item/20-tackling-urban-heat-islands/]Взломанная Спасение зоопарка: Три в ряд и Животные Мод Меню - Невероятные читы и взломы![/url] [url=https://nlpinst.com/what-is-nlp/comment-page-25972/#comment-292383]Взломанная Королевство Коротышек на Андроид - Мод все открыто читы 2023 - Невероятные читы и взломы![/url] 1c536c6

  • helpful hints

    helpful hints - Sunday, 10 March 2024

    Good post. I'm dealing with some of these issues as well..

  • https://webaspire.site/

    https://webaspire.site/ - Sunday, 10 March 2024

    I quite like reading an article that can make people think.

    Also, thanks for permitting me to comment!

  • Скачать N.O.V.A. — Наследие mod

    Скачать N.O.V.A. — Наследие mod - Sunday, 10 March 2024

    Что же вы откроете по ссылке - Скачать N.O.V.A. — Наследие mod

    Описание игры:

    Представляем вашему вниманию N.O.V.A. — Наследие на Андроид от нового разработчика.
    Системные параметры:
    1. Размер незанятой памяти устройства - 140 MB, освободите память от ненужных игр, файлов или программ для комфортного запуска.
    2. Операционная система - Android 6+, советуем определить параметры вашего устройства потому что, из-за несоответствия требованиям, будут ошибки при установке.
    3. Популярность - по статистике сервиса она составляет 27479525, о крутости приложения красноречиво демонстрирует количество запусков, внесите свой вклад в популярность.
    4. Дата обновления - на портале опубликована версия приложения от 28.12.23 - установите приложение, если вы запустили устаревшую версию.
    Программа реализует свою важнейшую функцию, помогает вам в решеннии поставленных задач и экономит ваше время. Ключевое отличие N.O.V.A. — Наследие - Premium - открытые перспективы, которые облегчат программный процесс, а вам не нужно искать полную версию. Что касается графического ядра, то все на замечательном уровне, точно так же, как и звуковое сопровождение. Вам решать - использовать оригинальную версию или использовать МОД. Не забывайте обновлять наш портал для обновления крутых приложений.

    Прямая ссылка:

    http://droider-play.ru/action/1466-igra-nova-nasledie-na-android-besplatno-beskonechnye-monety.html

    Рекомендуемые сайты:

    [url=http://tsolus.com/bbs/board.php?bo_table=online&wr_id=233227]Взлом N.O.V.A. — На[/url] [url=https://www.piotrowscydesign.pl/component/k2/item/20-tackling-urban-heat-islands/]Castle Empire: Tower Defense взлом - Невероятный взломы игры![/url] [url=https://guardiandoors.net/index.php?option=com_k2&view=item&id=15]Взломанная hello alpha neighbor Demo на Андроид - Мод все открыто MOD Много Денег - Самый популярный МОД в сети![/url] 2c2da11

Leave a comment

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