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)

175376 comments

  • ManuelSoank

    ManuelSoank - Thursday, 24 October 2024

    Юридическая фирма играет важную роль в обеспечении правовой поддержки для различных категорий граждан и бизнеса, предлагая широкий спектр услуг, связанных с защитой интересов клиентов. Квалифицированный адвокат или юрист способен разобраться в сложных правовых вопросах, предлагая индивидуальные решения, соответствующие особенностям конкретной ситуации. Обращение в юридическую фирму позволяет получить профессиональную консультацию, что значительно повышает шансы на положительный исход дела, будь то оформление документов, представление интересов в суде или помощь в осуществлении сделок. Такие специалисты имеют глубокие знания законодательства и понимают тонкости правоприменительной практики, что позволяет им эффективно отстаивать права своих клиентов. Кроме того, юридическая фирма может предложить комплексный подход к решению юридических вопросов, формируя стратегию, основанную на многолетнем опыте работы и анализе практики. Обратившись к профессионалам, вы можете быть уверены, что ваши интересы будут представлены с максимальной выгодой, что особенно важно в ситуациях, требующих особой осторожности и внимания к деталям. Юридическая фирма гарантирует не только защиту прав, но и уверенность в законности любых действий, что становится ключевым аспектом успешного разрешения правовых споров.

    Если вам требуется помощь опытного адвоката или юриста вы всегда можете рассчитывать на нашу помощь.

  • Derrickved

    Derrickved - Thursday, 24 October 2024

    [url=https://ngolokante-ar.biz]ngolokante-ar.biz[/url]

    last news about ngolo kante
    http://ngolokante-ar.biz

  • Derrickved

    Derrickved - Thursday, 24 October 2024

    [url=https://ngolokante-ar.biz]https://www.ngolokante-ar.biz[/url]

    last news about ngolo kante
    http://www.ngolokante-ar.biz

  • oven cleaners

    oven cleaners - Thursday, 24 October 2024

    oven cleaners

    Expert Oven Cleaning Services Offered іn Surrey

    Yoour Local, Family-Rᥙn Oven Cleaners—Օur oven cleaning
    services are known forr tһeir high quality and personal touch,
    ѡith over 4500 customeers recommending ᥙs to friends andd
    family.

  • Henryler

    Henryler - Thursday, 24 October 2024

    Riobet

  • JuniorGeava

    JuniorGeava - Thursday, 24 October 2024

    http://andrepmlg925.lowescouponn.com/why-curry-powder-is-a-must-have-for-meal-preppers


    Hi everyone! I’ve been adding Curry Powder to more of my recipes lately, and it’s been amazing add-on.

    The best part is how easy it is to incorporate into so many different dishes.

    I’ve used it in traditional curries, of course, but also in things like roasted potatoes, scrambled eggs, and even homemade salad dressings.

    It adds a warm, savory kick that’s not too spicy but super flavorful.

    Plus, the health benefits of the spices in Curry Powder are a big bonus. Ingredients like turmeric and ginger are known for their anti-inflammatory properties, which is a great added benefit when I’m trying to eat healthier. Anyone else love Curry Powder?

    How do you use it in your cooking?

  • find here

    find here - Thursday, 24 October 2024

    Howdy! Quick question that's completely off topic. Do you know how to
    make your site mobile friendly? My site looks weird
    when viewing from my iphone. I'm trying to find a template or plugin that might be able to resolve this problem.
    If you have any suggestions, please share. Appreciate it!

  • Danielforne

    Danielforne - Thursday, 24 October 2024

    Free Music Search https://mp3get.net Find popular Songs and Download mp3

  • Jamescat

    Jamescat - Thursday, 24 October 2024

    Сертификация по ISO 9001 http://sertifikaciya-rf.ru позволяет не только упорядочить систему управления компанией и сделать ее более результативной, но и получить экономический эффект. Соответствующие исследования проводили испанские экономисты.

  • anycalkib

    anycalkib - Thursday, 24 October 2024

    [url=https://safelychenge.com/]
    netex24 обмен денег[/url]


    safelychange официальный сайт

    https://safelychenge.com/

Leave a comment

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