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)

156711 comments

  • Danrvrp

    Danrvrp - Tuesday, 09 July 2024

    [u][b] Привет, друзья![/b][/u]
    Мы изготавливаем дипломы любых профессий по приятным тарифам.
    Мы готовы предложить документы техникумов, которые расположены на территории всей России. Вы сможете заказать качественно сделанный диплом от любого учебного заведения, за любой год, включая сюда документы старого образца. Дипломы и аттестаты выпускаются на "правильной" бумаге высшего качества. Это позволяет делать государственные дипломы, не отличимые от оригиналов. Они заверяются всеми обязательными печатями и подписями.
    [b]Где купить диплом специалиста?[/b]
    [url=http://www.sumkin.ru/forum/member.php?u=40482]http://www.sumkin.ru/forum/member.php?u=40482[/url]

  • 버팀목 대출

    버팀목 대출 - Tuesday, 09 July 2024

    What Kind Of Loan Do You Have? 버팀목 대출

  • spille poker online
  • lynnbolvin.top

    lynnbolvin.top - Tuesday, 09 July 2024

    20 Insightful Quotes About Bioethanol Fireplace lynnbolvin.top

  • Anthonyplalo

    Anthonyplalo - Tuesday, 09 July 2024

    [url=https://casinoin-play.com]Casinoin[/url] ПЂПЃОїПѓП†О­ПЃОµО№ ОјО№О± ОµОЅП„П…ПЂП‰ПѓО№О±ОєО® ПѓП…О»О»ОїОіО® ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ, ПЂОїП… ОєО±О»ПЌПЂП„ОїП…ОЅ П„Ої П†О¬ПѓОјО± О±ПЂПЊ ОєО»О±ПѓО№ОєО¬ slots О­П‰П‚ ПѓПЌОіП‡ПЃОїОЅО± live casino ПЂО±О№П‡ОЅОЇОґО№О±. ОњОµ ОјО№О± ОµПЌП‡ПЃО·ПѓП„О· ПЂО»О±П„П†ПЊПЃОјО± ОєО±О№ ОµОєО»ОµОєП„О№ОєО® ПЂОїО№ОєО№О»ОЇО± ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ, П„Ої Casinoin ОµОЇОЅО±О№ О­ОЅО±П‚ ПЂПЃОїОїПЃО№ПѓОјПЊП‚ ОіО№О± ОєО¬ОёОµ П„ПЌПЂОї ПЂО±ОЇОєП„О·, О±ОЅОµОѕО¬ПЃП„О·П„О± О±ПЂПЊ П„О№П‚ ПЂПЃОїП„О№ОјО®ПѓОµО№П‚ П„ОїП…П‚.


    [url=https://casinoin-play.com]https://casinoin-play.com[/url]

  • Anthonyplalo

    Anthonyplalo - Tuesday, 09 July 2024

    [url=https://casinoin-play.com]Casinoin Casino[/url] ПЂПЃОїПѓП†О­ПЃОµО№ ОјО№О± ОµОЅП„П…ПЂП‰ПѓО№О±ОєО® ПѓП…О»О»ОїОіО® ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ, ПЂОїП… ОєО±О»ПЌПЂП„ОїП…ОЅ П„Ої П†О¬ПѓОјО± О±ПЂПЊ ОєО»О±ПѓО№ОєО¬ slots О­П‰П‚ ПѓПЌОіП‡ПЃОїОЅО± live casino ПЂО±О№П‡ОЅОЇОґО№О±. ОњОµ ОјО№О± ОµПЌП‡ПЃО·ПѓП„О· ПЂО»О±П„П†ПЊПЃОјО± ОєО±О№ ОµОєО»ОµОєП„О№ОєО® ПЂОїО№ОєО№О»ОЇО± ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ, П„Ої Casinoin ОµОЇОЅО±О№ О­ОЅО±П‚ ПЂПЃОїОїПЃО№ПѓОјПЊП‚ ОіО№О± ОєО¬ОёОµ П„ПЌПЂОї ПЂО±ОЇОєП„О·, О±ОЅОµОѕО¬ПЃП„О·П„О± О±ПЂПЊ П„О№П‚ ПЂПЃОїП„О№ОјО®ПѓОµО№П‚ П„ОїП…П‚.


    [url=https://wazamba-cassino.com]https://wazamba-cassino.com[/url]

  • Judi Bola

    Judi Bola - Tuesday, 09 July 2024

    I was pretty pleased to discover this website. I wanted to thank you for your time
    just for this wonderful read!! I definitely savored every bit of it and I have you saved to fav
    to see new stuff on your site.

  • Danrcsb

    Danrcsb - Tuesday, 09 July 2024

    [u][b] Добрый день![/b][/u]
    Мы можем предложить дипломы любой профессии по доступным ценам.
    Мы готовы предложить документы ВУЗов, расположенных в любом регионе РФ. Можно приобрести качественный диплом за любой год, указав необходимую специальность и оценки за все дисциплины. Дипломы и аттестаты выпускаются на бумаге высшего качества. Это дает возможность делать настоящие дипломы, которые не отличить от оригинала. Документы заверяются всеми необходимыми печатями и штампами.
    [b]Где купить диплом специалиста?[/b]
    [url=https://www.forumklassika.ru/member.php?u=169637&tab=aboutme]http://www.forumklassika.ru/member.php?u=169637&tab=aboutme[/url]

  • Keithroogy

    Keithroogy - Tuesday, 09 July 2024

    ОЈП„Ої [url=https://lamabets.com]Lamabet Casino[/url], ОїО№ ПЂО±ОЇОєП„ОµП‚ О­П‡ОїП…ОЅ ПЂПЃПЊПѓОІО±ПѓО· ПѓОµ ОјО№О± ОµОЅП„П…ПЂП‰ПѓО№О±ОєО® ПѓП…О»О»ОїОіО® ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ. О‘ПЂПЊ П„О± ПЂО№Ої О±ОіО±ПЂО·ОјО­ОЅО± slots ОјО­П‡ПЃО№ ОєО»О±ПѓО№ОєО¬ П„ПЃО±ПЂО­О¶О№О± ОєО±О¶ОЇОЅОї ПЊПЂП‰П‚ ПЃОїП…О»О­П„О±, ОјПЂО»О¬ОєП„О¶О±Оє ОєО±О№ ПЂПЊОєОµПЃ, П…ПЂО¬ПЃП‡ОµО№ ОєО¬П„О№ ОіО№О± ОєО¬ОёОµ ОіОїПЌПѓП„Ої. О— ПЂПЃОїПѓОёО®ОєО· ОЅО­П‰ОЅ ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ ОєО±О№ О· ПѓП…ОЅОµП‡О®П‚ О±ОЅО±ОЅО­П‰ПѓО· П„ОїП… ОєО±П„О±О»ПЊОіОїП… ОґО№О±П„О·ПЃОїПЌОЅ П„Ої ОµОЅОґО№О±П†О­ПЃОїОЅ О¶П‰ОЅП„О±ОЅПЊ.


    [url=https://lamabets.com]https://lamabets.com[/url]

  • EugenePoota

    EugenePoota - Tuesday, 09 July 2024

    О¤Ої [url=https://casinolyplay.com]Casinoly Casino[/url] П‡ПЃО·ПѓО№ОјОїПЂОїО№ОµОЇ П„ОµП‡ОЅОїО»ОїОіОЇО± ОєПЃП…ПЂП„ОїОіПЃО¬П†О·ПѓО·П‚ SSL ОіО№О± П„О·ОЅ ПЂПЃОїПѓП„О±ПѓОЇО± П„П‰ОЅ ОґОµОґОїОјО­ОЅП‰ОЅ ОєО±О№ П„П‰ОЅ ПѓП…ОЅО±О»О»О±ОіПЋОЅ П„П‰ОЅ ПЂО±О№ОєП„ПЋОЅ. О•ПЂО№ПЂО»О­ОїОЅ, П„Ої ОєО±О¶ОЇОЅОї ОґО№О±ОёО­П„ОµО№ ПЂО№ПѓП„ОїПЂОїО№О®ПѓОµО№П‚ О±ПЂПЊ О±ОЅО±ОіОЅП‰ПЃО№ПѓОјО­ОЅОµП‚ О±ПЃП‡О­П‚ ПЃПЌОёОјО№ПѓО·П‚ П„П…П‡ОµПЃПЋОЅ ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ, ОґО№О±ПѓП†О±О»ОЇО¶ОїОЅП„О±П‚ ОґОЇОєО±О№Ої ПЂО±О№П‡ОЅОЇОґО№ ОєО±О№ П„О·ОЅ О±ОєОµПЃО±О№ПЊП„О·П„О± ПЊО»П‰ОЅ П„П‰ОЅ ПЂО±О№П‡ОЅО№ОґО№ПЋОЅ.


    [url=https://casinolyplay.com]https://casinolyplay.com[/url]

Leave a comment

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