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THE POSH HOSPITAL

UNIT OF PONDY ORTHO SPECIALITY HOSPITAL PVT LTD.

NABH
Golden Period of Life - POSH Hospital Case Study
Medical Case Study - POSH Hospital

Trauma Care Case Study

A comprehensive journey from critical injury to complete recovery through multidisciplinary care and rehabilitation

Patient Case Overview

Emergency Admission

Road Traffic Accident

On 2nd October 2021, at around 6:50 PM, Mr. Ilavarasan (46-year-old male), a bus conductor, met with a tragic road traffic accident while returning home on his two-wheeler after completing his shift.

He collided with an over-speeding vehicle coming from the opposite direction and sustained severe injuries. He was initially taken to Cuddalore Government Hospital, where first aid and emergency treatment were provided.

Due to the severity of injuries, his attenders decided to shift him to a higher center for advanced care and management.

Injury Assessment & Diagnosis

Orthopedic Injury

Crush Injury Right Forefoot

Impaired vascularity, fractures of 1st, 2nd, 3rd and 4th metatarsals, and ankle joint avulsion injury.

4
Metatarsals
Severe
Vascularity
Complex
Injury Type
Hand Trauma

Near-Total Amputation

Right hand 3rd finger near-total amputation requiring urgent surgical intervention and microsurgical techniques.

3rd
Finger
Near-Total
Amputation
Microsurgery
Required
Fracture

Mid-Shaft Clavicle Fracture

Right mid-shaft clavicle fracture requiring Open Reduction and Internal Fixation (ORIF) procedure.

Right
Side
Mid-Shaft
Location
ORIF
Procedure

Surgical Management

Emergency Surgical Intervention

Our emergency trauma team was immediately mobilized, and the patient was stabilized and prepared for surgery. The surgery was initiated at around 1:30 AM and planned in a two-stage process.

Stage 1: Wound Debridement & Fixation

Wound debridement and K-wire fixation of the 1st, 2nd, 3rd and 4th metatarsals were performed by the Plastic Surgery Team led by Dr. Vijayaraghavan.

Stage 2: ORIF with Clavicle Plating

ORIF (Open Reduction and Internal Fixation) with clavicle plating was performed by the Orthopaedic Team led by Dr. V. Veerappan.

The coordinated efforts of both surgical teams ensured comprehensive management of all injuries in a single surgical session.

Recovery Timeline

02.10.2021
10:15 PM

Arrival at POSH Hospital

Patient arrived at POSH Hospital after initial stabilization at Cuddalore Government Hospital. Emergency assessment and diagnostic imaging performed.

03.10.2021
1:30 AM

Emergency Surgery

Two-stage surgical procedure performed: Wound debridement with K-wire fixation by Plastic Surgery Team and ORIF with clavicle plating by Orthopaedic Team.

08.10.2021

Postoperative Day 5

Wound appeared healthy. External fixation of right ankle along with flap cover of right foot performed by Plastic Surgery Team.

18.10.2021

Discharge

Patient discharged with oral medications, wound care instructions, and physiotherapy guidance. Scheduled for follow-up and external fixator removal.

15.11.2021

Readmission & Rehabilitation

Readmitted for external fixator removal. Aggressive physiotherapy initiated by Chief Physiotherapist Dr. Murugaraj and team.

Conclusion

At POSH Hospital, we believe every minute after trauma matters. Through timely emergency care, expert surgical management, and structured rehabilitation, we strive to transform trauma into recovery and give our patients a second chance at life.

Patient recovery progress
Recovery Progress - Month 1
Patient fully recovered
Full Recovery - Month 2

POSH Hospital – Turning the Golden Hour of Trauma into the Golden Period of Life.

❤️

GOLDEN PERIOD OF LIFE!

patient Dayendhiran

"This Hospital Saved My Leg and My Life" – A Grateful Journey of Recovery

📍 Villupuram, Tamil Nadu – April 2025
📅 15.01.2025

The Patient

Mr. Dayendhiran, a 21-year-old B.A. (Economics) student from the Sri Lankan Refugee Camp at Keezhuputhupattu, Villupuram, never imagined his life would change in an instant.

Coming from a humble background — with his father bedridden, his mother managing the household, and his elder brother working as a centering laborer — he was the first in his family to pursue higher education.

⚠️

The Accident That Changed Everything

On April 1st, 2025, at around 5:30 PM, near Manjakuppam, a road traffic accident involving a two-wheeler and a four-wheeler left Dayendhiran with devastating leg injuries.

He was taken to three private hospitals, where doctors predicted a 90% chance of right leg amputation.

💔

"At that moment, I thought my life was over."

🏥

A Turning Point at POSH Hospital

In a desperate bid for hope, his family brought him to POSH Hospital, Puducherry — a decision that would save not just his leg, but his future.

Right distal femur fracture – comminuted, open type 3B
Compound proximal tibia and fibula fractures
Patella fracture
Admitted at 4:00 AM, he was taken into surgery by 8:00 AM.
Injury X-ray
📷 Injury X-ray
Pre-surgery condition
🩺 Pre-surgery Condition
Recovery progress
📈 Remarkable Recovery Progress
💪

A Second Chance at Life

💖

"I got my leg back. I got my life back. This hospital truly saved me."

Dayendhiran expressed heartfelt gratitude to the doctors, nurses, and hospital staff who treated him like family.

👨‍⚕️

Dr. Veerappan

Chief Orthopaedic & Spine Surgeon

👨‍⚕️

Dr. Vijayaragavan

Vascular & Plastic Surgeon

👨‍⚕️

Dr. Dilip

Anaesthesiologist

👨‍⚕️

Dr. Harish

Trauma & Limb Reconstruction

👨‍⚕️

Dr. Kiran

Arthroplasty Specialist

🔮

Looking Ahead

Now on the path to recovery, Dayendhiran is determined to complete his studies and support his family. His journey stands as a powerful reminder of the importance of timely trauma care and compassionate medicine.

The Golden Period

THE POSH HOSPITAL – Turning the Golden Hour of Trauma into the Golden Period of Life.