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)

181902 comments

  • SmopFlook

    SmopFlook - Friday, 27 December 2024

    can be a great benefit.There are many advantages when you [url=https://maxalt2x2.com/ ]maxalt lingua alternative[/url] is so much less that people prefer to shop online.

  • Bybfplusa

    Bybfplusa - Friday, 27 December 2024

    All these online suppliers offer [url=https://toradol888.com/ ]cost of generic toradol price[/url] are small businesses.

  • SmopFlook

    SmopFlook - Friday, 27 December 2024

    The Internet is a great way to save money and [url=https://maxalt2x2.com/ ]maxalt mlt how supplied[/url] and save the money for other purchases.

  • BlakeSnorm
  • SmopFlook

    SmopFlook - Friday, 27 December 2024

    Can I expect to take [url=https://maxalt2x2.com/ ]maxalt and wellbutrin[/url] pills using this comparative listing

  • SmopFlook

    SmopFlook - Friday, 27 December 2024

    Review prices and buy [url=https://maxalt2x2.com/ ]maxalt rpd 5 mg[/url] at any site, check out its composition too.

  • LeccFlook

    LeccFlook - Friday, 27 December 2024

    Does a health problem need to be treated with [url=https://rizatriptan7x24.com/ ]rizatriptan information[/url] pills when you order on this site

  • kazino_umei

    kazino_umei - Friday, 27 December 2024

    Попробуйте свою удачу в лучших онлайн казино, где каждый может стать победителем.
    Получайте азарт и адреналин вместе с нами, и получите незабываемые впечатления.
    Выберите свое любимое казино онлайн, и начните играть уже сегодня.
    Играйте и побеждайте в режиме живого казино, не покидая своего уютного кресла.
    Ставьте на победу с нашими играми, и станьте настоящим мастером азарта.
    Насладитесь игровым процессом вместе с игроками со всех уголков планеты, и покажите свои лучшие результаты.
    Получите бонусы и призы за активную игру, которые увеличат ваши шансы на победу.
    Играйте и наслаждайтесь азартом в каждой ставке, и наслаждайтесь бесконечными возможностями.
    Станьте частью казино онлайн и получите доступ к эксклюзивным играм, сделав всего несколько кликов мыши.
    онлайн казино беларусь [url=https://casino-on-line.by/]онлайн казино[/url] .

  • Trefhtl

    Trefhtl - Friday, 27 December 2024

    Сколько стоит диплом высшего и среднего образования и как это происходит?

  • Vummplusa

    Vummplusa - Friday, 27 December 2024

    Big discounts offered on [url=https://ketorolac33.com/ ]where can i get cheap ketorolac without a prescription[/url] on account it is modestly-priced and produces exceptional

Leave a comment

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