Application of damage control surgery in treatment of borderline severe multiple fractures

VernacularTitle:损伤控制性手术在边界型严重多发性骨折治疗中的应用
Author: Chen GONG ; Yang LIN ; Kunpeng LI ; Yu DU ; Feng BIAN ; Fengjing GUO
Publication Type:Journal Article
Keywords: Fractures; Multiple trauma; Injury severity score; Damage control
From: Chinese Journal of Trauma 2012;(11):1022-1025
CountryChina
Language:Chinese
Abstract: Objective To investigate the curative effects of damage control surgery in treatment of borderline severe multiple fractures.Methods The study involved 37 patients with severe multiple fractures(ISS of 16-42,Pape classification of borderline type)surgically treated from January 2009 to June 2010.All patients underwent staged surgeries according to damage control principles:hemostasis,debridement and provisional fixation were given in the first stage;antishock,anti-coagulation dysfunction,anti-hypothermy,anti-infection were performed in the second stage;definitive operations for fractures were performed as soon as possible in the third stage,provided that their physiological condition was permitted.Results All the patients received effective treatments such as debridement,provisional fixation and antishock in the first and second stages,with no iatrogenic secondary injury.The patients had significant recovery in the 6-14 months of follow-up,with total disability rate of 16％.Conclusion The staged operations according to damage control principles are effective and safe in treatment of borderline severe multiple fractures.