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)

153102 comments

  • StephenFus

    StephenFus - Monday, 24 June 2024

    Moderator!

    Ищете платформу, в которой приоритет отдается анонимности? Mega at - это то, что вам нужно! Благодаря продвинутому шифрованию и интегрированному Google TFA мега онион ссылка гарантирует, что ваша личность останется под защитой. Наслаждайтесь возможностью выбора места доставки товара и изучайте множество различных категорий. Присоединяйтесь к http mega sb сейчас и ощутите безопасность анонимных покупок.

    mega ссылка onion com:https://xn--megsb-5wa.com

  • ergeycheie

    ergeycheie - Monday, 24 June 2024

    [url=https://gulfgunsmarket24.com/]
    купить оружие онлайн[/url]

    пистолеты без лицензии

    https://gulfgunsmarket24.com/

  • Safetysystemsgroup

    Safetysystemsgroup - Monday, 24 June 2024

    Онлайн обучение по охране труда safetysystemsgroup.com

    Помимо [url=https://safetysystemsgroup.com/ohrana-truda/]обучение и проверка знаний по охране труда[/url] у нас Вы найдете курсы по обучению в режиме онлайн по охране труда, пожарно-технический минимум, электробезопасность 3-я группа и другие. Свяжитесь с нами по вышеупомянутому номеру телефона, адресу или закажите обратный звонок. Будем рады сотрудничеству.

  • Vernainift

    Vernainift - Monday, 24 June 2024

    Hey there, everyone! The name's Admin Read:

    Ищете большой ассортимент товаров? Мега дарк нет поможет вам! Благодаря широкому выбору категорий и труднодоступным товарам mega ссылка тор предлагает опции для каждого. Оцените удобство регистрации без электронной почты и гарантируйте безопасность с Google TFA. Присоединяйтесь к mega at сегодня и отправляйтесь в шопинг-путешествие, равного которому нет.

    мега даркнет маркет ссылка:https://xn--megas-k90b.com

  • AllenWrite

    AllenWrite - Monday, 24 June 2024

    https://muslim-forum.org/

  • aviator demo

    aviator demo - Monday, 24 June 2024

    reputable online platforms that ensure safety and fair play.
    aviator demo

  • Morrisfomma

    Morrisfomma - Monday, 24 June 2024

    https://irhsca.org/

  • Vernainift

    Vernainift - Monday, 24 June 2024

    Admin – “:

    Пытаетесь обнаружить редкие товары в сети? Marketplace мега даркнет маркет ссылка поможет вам! Благодаря широкому выбору категорий и редким позициям мега даркнет ссылки - лучшее место для онлайн-покупок. Воспользуйтесь анонимностью при регистрации без электронной почты и дополнительной защитой через Google TFA. Ощутите удобство оплаты через карту или Bitcoin. Откройте для себя уникальные возможности m3ga at Marketplace уже сейчас.

    мега сайт даркнет ссылка:https://xn--megas-k90b.com

  • can i purchase cheap actos without dr prescription

    can i purchase cheap actos without dr prescription - Monday, 24 June 2024

    where buy actos without insurance

  • Richardsycle

    Richardsycle - Monday, 24 June 2024

    https://iqratrust.org/

Leave a comment

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