A case of poly trauma. Patient was
travelling in a bus where he was hit by a lorry on 26.06.2015.Patient C/O
severe pain & inability to use both lower limbs. C/O inability to stand
& walk. Patient was initially treated at Govt.Hospital near Vellore where
he was treated conservatively with splints, analgesics & suturing of right
forearm. Patient had no H/O Loc/Ent bleed.
Patient had come at Sai ortho care
hospitals for further management.
When patient was received at sai
ortho care hospitals patient was observed to be in “HYPOVOLAEMIC SHOCK.”
Patient was resuccitated with IV fluids & dressing of the compound wound
over left femur was done. Patient was immediately shifted to ICU & was
stabilized vitals was found stable. O2 support given due to de – saturation.
Skin traction for both lower limbs was given. Wound swab from compound wound
sent for Culture & Sensitivity.
X – rays taken for both lower
limbs. Patient was diagnosed with
Fracture shaft of femur right side.
Comminuted compound fracture femur left side.
Fracture both bones left leg.
Comminuted fracture distal tibia & fibula right
After stabilizing the patient,
fracture fixation was planned as a 3 stage procedure.
Stage 1: (30.06.2015)
Intramedullary nailing of right
femur & external fixator application of left femur with wound debridement
done on 30.06.2015.B.K.Slab given for both legs.
Stage 2 : (05.07.2015)
External fixator removal &
intramedullary nailing of left femur. O.R.I.F. for right ankle done on
Stage 3: (11.07.2015)
Closed locking & intramedullary
nailing of left tibia done on 11.07.2015