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)

164311 comments

  • JasonDow

    JasonDow - Wednesday, 23 October 2024

    таро гадание по одной карте на ситуацию гадание по таро на ближайшее будущее

  • Avddplusa

    Avddplusa - Wednesday, 23 October 2024

    You can easily go online to check the online pharmacy fluoxetine to make your sexual life strengthen.
    They are a kind of wellspring of individual reflection and inspiration, the realm of the artist and the poet, not just the scientist and the physician.
    https://allamericapharmacy.com/

  • Mostbet

    Mostbet - Wednesday, 23 October 2024

    Very nice write-up. I definitely love this site. Keep writing!

  • JuniorGeava

    JuniorGeava - Wednesday, 23 October 2024

    https://ameblo.jp/fernandogucr848/entry-12872066347.html


    Hola a todos!

    Queria compartir mi experiencia con los servicios de consultoria en recursos humanos que hemos implementado en mi empresa, y como nos ha ayudado a mejorar muchos aspectos. Somos una empresa mediana en crecimiento, y a medida que contratabamos mas personal, nos dimos cuenta de que nuestros procesos de RR.HH. no estaban tan organizados como deberian. Ahi es cuando decidimos recurrir a una consultoria en recursos humanos para que nos apoyaran con la gestion.

    Lo que mas nos ha ayudado ha sido la optimizacion del proceso de contratacion y el desarrollo de un sistema de evaluacion de desempeno mas efectivo. Tambien nos ayudaron a alinear nuestras politicas de beneficios con las expectativas de nuestros empleados, lo que mejoro la satisfaccion del equipo. Ademas, la consultoria nos ayudo a estar al dia con el cumplimiento de las normativas laborales, algo que siempre nos generaba preocupacion.

    Si estan buscando mejorar la gestion de personal, la contratacion o el cumplimiento de normativas, les recomiendo mucho considerar una consultoria en recursos humanos. Nos ha permitido enfocar nuestros esfuerzos en areas estrategicas de la empresa mientras los expertos se encargan de los aspectos mas complejos de los recursos humanos.

    Alguien mas aqui ha trabajado con consultores de RR.HH.?

    Me encantaria saber como les fue y que beneficios notaron!

  • Aymgplusa

    Aymgplusa - Wednesday, 23 October 2024

    Opt between airmail and courier delivery for russian pharmacy online pills guaranteed to buyers here
    If a pap smear identifies abnormal cellular changes, precancerous cells, or cancerous cells, your doctor will conduct additional tests.
    https://fastmeddelivery.com/

  • aviator online game

    aviator online game - Wednesday, 23 October 2024

    aviator download

  • Aymgplusa

    Aymgplusa - Wednesday, 23 October 2024

    Medical experts agree you should world pharmacy rx pills. Compare prices to save
    Hooper recommended testing her residence and place of employment for the presence of these toxins.
    https://fastmeddelivery.com/

  • Avddplusa

    Avddplusa - Wednesday, 23 October 2024

    If you are ill or in pain your meds are cheaper with giant eagle pharmacy simvastatin misconceptions about online ordering. Don’t be ignorant, read
    I have been on the Pill for over a year now.
    https://allamericapharmacy.com/

  • Avddplusa

    Avddplusa - Wednesday, 23 October 2024

    Always ask if you get something new when you weis pharmacy solutions for your health with online ordering.
    It is not certain how well patients in this study represented persons with similar symptoms in other parts of the United States or the world, because patients were identified through a single, large healthcare organization in one region of the United States.
    https://allamericapharmacy.com/

  • https://generic51.ru/

    https://generic51.ru/ - Wednesday, 23 October 2024

    дженерики Мурманск

Leave a comment

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