Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma.
- Author:
Ai-min WANG
1
;
Xiang YIN
;
Hong-zhen SUN
;
Quan-yin DU
;
Zi-ming WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Female; Fractures, Bone; surgery; Humans; Male; Middle Aged; Multiple Trauma; surgery; Orthopedic Procedures; Retrospective Studies
- From: Chinese Journal of Traumatology 2008;11(5):283-287
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma.
METHODSThe data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control orthopaedics were discussed in this study.
RESULTSWe succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work.
CONCLUSIONSInjury Severity Score (ISS(90)) should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS(90) of bone and joint injuries should be 16. We recommend that primary minimally-invasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit (ICU).
