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)

181339 comments

  • where can i get cheap mestinon

    where can i get cheap mestinon - Sunday, 26 January 2025

    can i purchase mestinon pills where can i get mestinon pills cheap mestinon without a prescription
    can you buy cheap mestinon without insurance buying cheap mestinon for sale where can i buy cheap mestinon online
    can i buy cheap mestinon for sale
    where can i get mestinon price where buy generic mestinon no prescription where to get mestinon without prescription
    where can i get generic mestinon tablets order generic mestinon without dr prescription where can i buy cheap mestinon without dr prescription

  • can you buy generic geodon without dr prescription

    can you buy generic geodon without dr prescription - Sunday, 26 January 2025

    how to buy geodon pills

  • ongazexbew

    ongazexbew - Sunday, 26 January 2025

    [url=https://rabota-devushkam.net/tumen/]вакансии девушкам Тюмень[/url]

    вакансии девушкам Одесса
    https://rabota-devushkam.net/ekaterinburg/

  • deldiabloCasino

    deldiabloCasino - Sunday, 26 January 2025

    [url=https://deldiablo.directorio-de-casinos-mx.com]https://www.deldiablo.directorio-de-casinos-mx.com[/url]

    Download latest version of the application online casino del diablo - play today!
    deldiablo casino

  • deldiabloCasino

    deldiabloCasino - Sunday, 26 January 2025

    [url=https://deldiablo.directorio-de-casinos-mx.com]deldiablo.directorio-de-casinos-mx.com[/url]

    Upload application online casino del diablo - win today!
    casino deldiablo

  • is there a lawsuit against atorvastatin

    is there a lawsuit against atorvastatin - Sunday, 26 January 2025

    Medication information for patients. Cautions.
    is there a lawsuit against atorvastatin
    Actual news about meds. Read now.

  • KevinClupe

    KevinClupe - Sunday, 26 January 2025

    Казино Водка это новое онлайн казино, основанное в 2023 году. Оно стремительно завоевало внимание даже самых искушённых игроков в России и других странах СНГ. Водка Казино предлагает своим игрокам внушительную библиотеку игровых автоматов - свыше 2000 слотов обеспечивающимися более чем 45 провайдерами игр, где каждый игрок найдет игру по душе Vodka Casino

  • where to get doxycycline prices

    where to get doxycycline prices - Sunday, 26 January 2025

    how can i get doxycycline without insurance doxycycline for chlamydia reviews cost of generic doxycycline tablets
    where to buy doxycycline for acne how to get cheap doxycycline online doxycycline purchase without a perscription
    generic doxycycline online
    doxycycline for malaria prevention doxycycline hyclate usp monograph where can i buy cheap doxycycline pill
    doxycycline malaria tablets buy generic doxycycline pill adult dose doxycycline

  • where can i buy cheap nexium without insurance

    where can i buy cheap nexium without insurance - Sunday, 26 January 2025

    can i buy cheap nexium online

  • lisinopril hplc method

    lisinopril hplc method - Sunday, 26 January 2025

    Medicines prescribing information. Cautions.
    lisinopril hplc method
    Everything about medication. Get now.

Leave a comment

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