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)

157414 comments

  • JosephDep

    JosephDep - Thursday, 01 August 2024

    Поиск горящих туров на море из Москвы лучшие цены, горит 15822 тура [url=http://tourhot.ru/]горящий тур[/url]

  • kajutgmopl

    kajutgmopl - Thursday, 01 August 2024

    [url=https://kraken200.com/]
    kraken18 at[/url]


    кракен магазин

    https://kraken200.com/

  • Aviator

    Aviator - Thursday, 01 August 2024

    ensures that the games are fair and that the platforms adhere to strict standards of operation.
    Play Aviator Game

  • Robertvam
  • JosephPlath

    JosephPlath - Thursday, 01 August 2024

    Pill information provided. Formulation info listed.
    [url=https://trustonlinepharmacy.shop/#]online pharmacy discount code[/url]
    Access pill facts. Pill guide here.

  • Lukáš Horák

    Lukáš Horák - Thursday, 01 August 2024

    Does your website have a contact page? I'm having
    a tough time locating it but, I'd like to send you
    an e-mail. I've got some ideas for your blog you might be interested in hearing.
    Either way, great website and I look forward to seeing it expand over time.

  • Robertvam
  • Mostbet App

    Mostbet App - Thursday, 01 August 2024

    I do not even understand how I stopped up here, but I believed this submit was once good.

    I don't understand who you might be however definitely you're going to a famous blogger
    should you are not already. Cheers!

  • DavidFlete

    DavidFlete - Thursday, 01 August 2024

    Відповіді на питання щодо ремонту https://sovetik.in.ua та будівництва квартири, приватного будинку чи дачі

  • CurtisHedob

    CurtisHedob - Thursday, 01 August 2024

    Все про будівництво https://poradnik.com.ua будівельні матеріали, нерухомість, будівельну техніку, дизайн, меблі.

Leave a comment

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