The patient was N.T.H (24 years old, living in Ho Chi Minh City), before that, at around 10:00 p.m. on September 13, 2025, Ms. H. unfortunately collided with a container truck. After that, the patient was admitted to Military Hospital 175 in a state of shock and injury, severe multiple injuries, closed chest injury, right lung contusion, closed abdominal injury, rupture of the bladder and right ovaries, causing abdominal bleeding, broken thorax in the L2'L5 spine, complex fracture of the "ventilation" pelvic chair.
Colonel, Dr. Phan Dinh Mung - Director of the Orthopedic Trauma Institute, Deputy Director of Military Hospital 175 - said: "This is a case of complex injury, the patient has a poor prognosis, high risk of death. As soon as it received the patient, the hospital activated the red alert system, mobilizing interdisciplinary forces to treat the patient.
That same night, the interdisciplinary surgery was urgently performed. Doctors have performed fixation outside the pelvic frame to stabilize the fractured bone area, prevent visceral damage, and stitched the bladder, protecting the urinary system and the right ovarian region.
After many hours of surgery, the patient was able to prevent multiple injuries, successfully stop the bleeding and save the patient's life. After 2 weeks of intensive treatment, by October 6, 2025, the patient could sit up and go home.
Dr. Tran Quang Khanh - Department of Lower limb Surgery, Institute of Orthopedic Trauma, Military Hospital 175 said: The patient had a "ventilatory" pelvic fracture, a very complicated fracture, accounting for about 6% of pelvic fracture cases. This is a type of fracture caused by high-energy injury, combining front and rear compression forces, side impact forces, causing one side of the pelvis to open, the other side to close, creating a characteristic image of " blowing the wind". Usually, the injury also comes with fractures of the collarbone and damage to the mu joint, causing the entire pelvis to stall, endangering life if not treated properly.
According to Dr. Khanh, the goal of treatment is to restore the pelvic frame and fix it firmly with a screws, helping the patient to move again soon. In this case, the pelvic cavity is lost in both the front and rear segments, so after adjustment, the doctor fixed the front segments with a screws and the rear segments with a foam screws.
