Treatment of severe polytrauma complicated by bone and joint injury

VernacularTitle:骨关节型严重多发伤的救治
Author: Xuming ZHANG ; Meiguang QIU ; Shishui LIN ; Zhixian XU ; Shuguang CHEN ; Aiping SHI ; Rongguo YU
Publication Type:Journal Article
Keywords: Multiple trauma; Fractures; Damage control surgery
From: Chinese Journal of Trauma 2011;27(5):396-398
CountryChina
Language:Chinese
Abstract: Objective To investigate the curative effect of damage control theory in treating severe polytrauma patients combined with bone and joint injury. Methods A retrospective study was done on data including complication, death rate, fracture healing and joint function recovery of 63 patients with severe polytrauma combined with bone and joint injury( average ISS ≥27 points) admitted to our hospital from January 2006 to June 2009. Results Of all the patients, 57 shock patients were cured,three died of hemorrhagic shock within two hours after admission and one patient died of severe traumatic brain injury 11 hours after admission. One patient died of ARDS at 24 hours postoperatively and one died of multiple organ failure at day 6 after injury. Fracture healing was achieved in 52 patients, with satisfactory recovery of the limb function. Amputation was performed in two patients and three patients had mild claudication and pain walking. Conclusion Damage control strategy has great clinical significance in guidance of treatment of severe polytrauma combined with bone and joint injury.