Abstract
The management of 319 cases with nonmissible depressed skull fractures is discussed. The majority of these injuries (75%) resulted from assaults and more than 90% were compound fractures. Of these, 35 cases were excluded from the series; these were patients who died before investigation or treatment could be instituted, or whose major injury was an intracranial hematoma or extensive traumatic hemorrhagic necrosis rather than a depressed fracture with underlying localized contusion. In the remaining 284 cases a comparison is made between the outcome in 124 (44%) patients treated by a conventional surgical method and 160 (56%) selected patients whose wound was only inspected, cleaned, and sutured in the emergency room. The nonsurgical group included 21 (9%) patients with simple depressed fractures and also patients without severe wound contamination, established infection, severe comminution of the fracture, or brain or cerebrospinal fluid in the wound. The results of management were assessed in relation to septic complications, the outcome of focal neurological abnormalities, and fatal complications. The group treated conservatively compared favorably with the surgical cases and also with previously reported series. The obvious ...Continue Reading
References
Nov 9, 1968·Lancet·J D Miller, W B Jennett
Jun 1, 1972·Journal of Neurology, Neurosurgery, and Psychiatry·R Braakman
Aug 1, 1972·Journal of Neurosurgery·K G Jamieson, J D Yelland
Mar 1, 1972·Journal of Neurosurgery·B Jennett, J D Miller
Citations
Jun 1, 1996·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Y ErşahinI Palali
May 13, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ozkan AteşMahir Tevrüz
Jan 1, 1992·Injury·D DemetriadesD Pantanowitz
Sep 29, 1990·BMJ : British Medical Journal·J D PickardJ S Garfield
Oct 1, 2005·Pediatric Neurosurgery·A TamimiI Tamimi
Mar 1, 1994·Neurosurgery·P K NarotamE Gouws
Jun 7, 2005·Neurosurgery·Devin K BinderLawrence H Pitts
May 23, 2006·Neurosurgery·M Ross BullockUNKNOWN Surgical Management of Traumatic Brain Injury Author Group
Mar 17, 2006·Neurosurgery·M Ross BullockUNKNOWN Surgical Management of Traumatic Brain Injury Author Group
Jun 7, 2014·Journal of Neurosurgery. Pediatrics·Christopher M BonfieldJoseph E Losee
Oct 1, 1996·The Journal of Trauma·C M DunhamC Cooper
Jun 28, 2011·World Neurosurgery·Narendra NathooJames R van Dellen
Jun 10, 2015·World Neurosurgery·Sivashanmugam DhandapaniKanchan K Mukherjee
Feb 16, 2000·The American Journal of Emergency Medicine·E A Savitsky, S R Votey
Apr 6, 2005·Surgical Neurology·Daniel J Donovan
Jun 17, 2014·Injury·Basil Enicker, Thandinkosi E Madiba
Dec 17, 2014·Acta neurochirurgica·Kanchan K MukherjeeSuresh N Mathuriya
Apr 14, 2016·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A A PotapovA A Solodov
Oct 27, 2016·Journal of Forensic Sciences·Keryn WalsheRoger W Byard
May 1, 1996·Neurosurgery·W A van den BrinkC J Avezaat