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)

31203 comments

  • Derrickved
  • DavidDuh

    DavidDuh - Wednesday, 30 October 2024

    Ищете платформу, которая ценит вашу конфиденциальность? Обратите внимание на площадка мега ссылка! Благодаря акценту на анонимности и передовым мерам безопасности мега онион ссылка гарантирует, что ваш просмотр останется в тени и защищен. Наслаждайтесь простой регистрацией и изучайте разнообразные категории. Присоединяйтесь к мега сайт тор ссылка прямо сейчас, чтобы пользоваться безопасными и конфиденциальными покупками.

    мега сб ссылка: https://xn--megas-k90b.com

  • onarmentar

    onarmentar - Wednesday, 30 October 2024

    [url=https://trjpscan.top/]
    tripscan top войти[/url]


    https tripscan top

    https://trjpscan.top/

  • Ремонт стиральных машин на дому

    Ремонт стиральных машин на дому - Wednesday, 30 October 2024

    Наша мастерская предлагает надежный мастерская по ремонту стиральной машины адреса всех типов и брендов. Мы осознаем, насколько необходимы вам ваши стиральные машины, и стремимся предоставить услуги первоклассного уровня. Наши квалифицированные специалисты проводят ремонтные работы с высокой скоростью и точностью, используя только оригинальные запчасти, что обеспечивает долговечность и надежность выполненных работ.
    Наиболее частые неисправности, с которыми сталкиваются обладатели устройств для стирки, включают проблемы с барабаном, проблемы с нагревом воды, программные сбои, проблемы с откачкой воды и механические повреждения. Для устранения этих поломок наши опытные мастера выполняют ремонт барабанов, нагревательных элементов, ПО, насосов и механических компонентов. Обратившись к нам, вы обеспечиваете себе долговечный и надежный мастерская по ремонту стиральной машины в москве.
    Подробная информация представлена на нашем сайте: https://remont-stiralnyh-mashin-ace.ru

  • Stevenkem

    Stevenkem - Wednesday, 30 October 2024

    [url=https://souza-talisca-ar.biz]https://souza-talisca-ar.biz[/url]

    last news about souza talisca
    https://souza-talisca-ar.biz

  • Stevenkem

    Stevenkem - Wednesday, 30 October 2024

    [url=https://souza-talisca-ar.biz]http://www.souza-talisca-ar.biz[/url]

    last news about souza talisca
    http://www.souza-talisca-ar.biz

  • gagatoto

    gagatoto - Wednesday, 30 October 2024

    Hello! Someone in my Myspace group shared this
    website with us so I came to look it over. I'm definitely
    enjoying the information. I'm bookmarking and will be tweeting this to my followers!
    Excellent blog and terrific style and design.

  • Stevenkem

    Stevenkem - Wednesday, 30 October 2024

    [url=https://souza-talisca-ar.biz]http://www.souza-talisca-ar.biz[/url]

    last news about souza talisca
    http://souza-talisca-ar.biz

  • Stevenkem

    Stevenkem - Wednesday, 30 October 2024

    [url=https://souza-talisca-ar.biz]https://souza-talisca-ar.biz[/url]

    last news about souza talisca
    https://souza-talisca-ar.biz

  • Derrickved

    Derrickved - Wednesday, 30 October 2024

    [url=https://cristiano-ronaldo-ae.biz]http://cristiano-ronaldo-ae.biz[/url]

    last news about cristiano ronaldo
    cristiano-ronaldo-ae.biz

Leave a comment

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