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)

181391 comments

  • ThomasTiele

    ThomasTiele - Monday, 13 January 2025

    Try the free demo game Crazy Monkey crazy-monkey.com az (Igrosoft) and read our exclusive review!

  • RalphIndew

    RalphIndew - Monday, 13 January 2025

    JetX is a unique simulation game jetx com az from SmartSoft Gaming. Players fly a virtual plane and collect their winnings safely.

  • Jerryhar

    Jerryhar - Monday, 13 January 2025

    Hot Fruits 100 Slot hot-fruits Review by Amatic Industries - Play Hot Fruits 100 demo for free or real money. Bonuses and best casinos for September 2024!

  • TerenceScowl

    TerenceScowl - Monday, 13 January 2025

    Discover Space XY space xy Take advantage of bonuses and free play to increase your chances of winning!

  • ThomasTiele

    ThomasTiele - Monday, 13 January 2025

    Try the free demo game Crazy Monkey crazy-monkey.com az (Igrosoft) and read our exclusive review!

  • iq blast pro review

    iq blast pro review - Monday, 13 January 2025

    You actually make it seem really easy along with your presentation however I find this matter to be really
    one thing which I think I would by no means understand.
    It kind of feels too complex and extremely vast for me. I am having a look ahead in your
    subsequent submit, I will try to get the dangle of it!

  • Michaelsib

    Michaelsib - Monday, 13 January 2025

    Book of Oz book of oz is a book slot from Triple Edge Studios in partnership with Microgaming.

  • sarang188

    sarang188 - Monday, 13 January 2025

    Nice post. I learn something totally new and challenging on blogs I stumbleupon every day.
    It will always be exciting to read content from other authors and use something from their websites.

  • Adrianler

    Adrianler - Monday, 13 January 2025

    Try your luck and win fun http://gates-of-olympus.com.az prizes by playing Gates of Olympus™ slot from Pragmatic Play for free!

  • Mariofrast

    Mariofrast - Monday, 13 January 2025

    Biography of football player https://khvicha-kvaratskhelia-az.com Khvicha Kvaratskheliya: family, career at Dynamo, Lokomotiv, Napoli, success in the Georgian national team.

Leave a comment

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