Damage control and intramedullary nailing for long bone fractures in polytrauma patients

Injury
Peter Patka

Abstract

The early fracture treatment in patients with multiple injuries should be focused on damage control. The fracture type and its location, local soft tissue condition as well as the patient's physiological condition shall determine the time and type of fracture treatment. Prevention of local and systemic complications must be immediately considered and included in the treatment planning. The use of external fixator (ExFix), which will be replaced by IM-implants in most cases at a later stage, provides adequate temporary fracture stabilization with less collateral damage. Good clinical results can be expected in patients with long bone fractures if the principles of damage control surgery are applied and local complications are prevented through proper reduction, firm fixation, early soft tissue reconstruction, and early rehabilitation.

References

Dec 13, 2002·The New England Journal of Medicine·Michael J BosseRenan C Castillo
Jul 9, 2005·Journal of Orthopaedic Trauma·Robert P DunbarWilliam J Mills
Sep 12, 2015·Injury·Thijs T C F van DongenRigo Hoencamp
Jan 10, 2016·Injury·Peter V GiannoudisNikolaos K Kanakaris
Jan 10, 2016·Injury·Giorgio Maria CaloriSimone Mazzola
Jan 13, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Jae Ho ChoHyung Keun Song
Dec 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·C M Ansari MoeinChr van der Werken
Jan 4, 2017·Injury·Rahul SinghPeter V Giannoudis

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Citations

Dec 6, 2018·Revista latino-americana de enfermagem·Damaris Vieira Braga, Marcos Antônio Gomes Brandão

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