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)

153977 comments

  • Tommydroro

    Tommydroro - Tuesday, 16 July 2024

    Hey, everyone! Allow me to introduce myself as Admin Read:

    Готовы открыть для себя редкие находки и эксклюзивные предложения? Kraken даркнет - это ваш секретный проход к уникальным товарам! Благодаря широкому выбору категорий и труднодоступных товаров kraken site предлагает покупателям сокровища. Пройдите легкую регистрацию и воспользуйтесь безопасными методами платежа. Присоединяйтесь к ссылка на кракен сегодня и погрузитесь в удивительный мир покупок.

    kraken8 at: https://xn--krken4-x0a.com

  • Vazrggk

    Vazrggk - Tuesday, 16 July 2024

    [u][b] Добрый день![/b][/u]
    Заказать документ о получении высшего образования вы сможете в нашей компании в столице. Мы предлагаем документы об окончании любых ВУЗов Российской Федерации.
    [b]Наша компания предлагает[/b] выгодно приобрести диплом, который выполняется на оригинальном бланке и заверен печатями, водяными знаками, подписями официальных лиц. Наш документ способен пройти лубую проверку, даже с применением специального оборудования.
    https://forum.thelostkeepers.ru/index.php?/topic/13169-%D0%BA%D0%B0%D0%BA-%D1%81%D0%BE%D0%B7%D0%B4%D0%B0%D1%82%D1%8C-%D0%BD%D0%BE%D0%B2%D1%83%D1%8E-%D1%82%D0%B5%D0%BC%D1%83-%D0%B2-forumthelostkeepersru/page/27/#comment-97468
    http://wennw.com/member.asp?action=view&memName=osewumu
    http://esitscale.com/forum/profile.php?mode=viewprofile&u=40117
    http://nontota.com/wikicorporativa/doku.php?id=premiummdiplomms
    http://xn----ptbagsgdho0d.xn--p1ai/index.php?subaction=userinfo&user=igyref

  • Uazrrdw

    Uazrrdw - Tuesday, 16 July 2024

    [u][b] Привет![/b][/u]
    Где приобрести диплом специалиста?
    Готовый диплом с приложением отвечает требованиям и стандартам Министерства образования и науки РФ, неотличим от оригинала.
    [b]Приобрести диплом о высшем образовании.[/b]
    https://wallazz.com/blogs/205361/%D0%A6%D0%B5%D0%BD%D0%B0-%D0%B4%D0%BE%D0%BA%D1%83%D0%BC%D0%B5%D0%BD%D1%82%D0%BE%D0%B2-%D0%BE%D0%B1%D0%B7%D0%BE%D1%80-%D0%B8-%D1%81%D0%BE%D0%B2%D0%B5%D1%82%D1%8B-%D1%8D%D0%BA%D1%81%D0%BF%D0%B5%D1%80%D1%82%D0%BE%D0%B2
    https://goup.hashnode.dev/kupit-diplom-konfidencialno-i-bezopasno
    http://mkpnz.ru/users/8
    http://toyota-porte.ru/forums/index.php?autocom=gallery&req=si&img=2222
    https://sonnick84.bloggosite.com/34700636/%D0%9D%D0%B0%D1%85%D0%BE%D0%B4%D0%B8%D0%BC-%D0%BF%D1%80%D0%BE%D0%B2%D0%B5%D1%80%D0%B5%D0%BD%D0%BD%D1%8B%D0%B9-%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%BD%D0%B5%D1%82-%D0%BC%D0%B0%D0%B3%D0%B0%D0%B7%D0%B8%D0%BD-%D0%B4%D0%BB%D1%8F-%D0%BF%D1%80%D0%B8%D0%BE%D0%B1%D1%80%D0%B5%D1%82%D0%B5%D0%BD%D0%B8%D1%8F-%D0%B4%D0%B8%D0%BF%D0%BB%D0%BE%D0%BC%D0%B0

  •  1win скачать

    1win скачать - Tuesday, 16 July 2024

    Большие выигрыши на спортивных ставках | Безопасные ставки на 1win | Ставки с 1win - отличный выбор | На 1win вы всегда в плюсе| На 1win выигрывают самые смелые| 1win делает игру насыщенной и интересной| Ставки на 1win - это ваш шанс| 1win - путь к финансовой независимости| 1win - это высокие шансы на выигрыш| 1win - это ваш верный партнер в ставках
    1win [url=https://1win-bk.by/]https://1win-bk.by/[/url] .

  • ColinciT

    ColinciT - Tuesday, 16 July 2024

    Pill leaflet provided. Drug resource available.
    [url=https://propecia365n.top]buy propecia no prescription[/url]
    Get details now. Drug trends described.

  • Jesuslon

    Jesuslon - Tuesday, 16 July 2024

    Ousmane Dembele's https://paris-saint-germain.ousmanedembele-br.com rise from promising talent to key player for French football giants Paris Saint-Germain. An exciting success story.

  • Jesuslon

    Jesuslon - Tuesday, 16 July 2024

    Ousmane Dembele's https://paris-saint-germain.ousmanedembele-br.com rise from promising talent to key player for French football giants Paris Saint-Germain. An exciting success story.

  • Jesuslon

    Jesuslon - Tuesday, 16 July 2024

    Ousmane Dembele's https://paris-saint-germain.ousmanedembele-br.com rise from promising talent to key player for French football giants Paris Saint-Germain. An exciting success story.

  • Jesuslon

    Jesuslon - Tuesday, 16 July 2024

    Ousmane Dembele's https://paris-saint-germain.ousmanedembele-br.com rise from promising talent to key player for French football giants Paris Saint-Germain. An exciting success story.

  • Chuckbat

    Chuckbat - Tuesday, 16 July 2024

    Лучшие пансионаты для пожилых людей https://ernst-neizvestniy.ru в Самаре - недорогие дома для престарелых в Самарской области

Leave a comment

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