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, for example. This position also allows for easier reduction of the distal fragment. The supine position is familiar to most surgeons, is superior in the case of polytrauma by providing access to other extremities, and is protective of an injured spine
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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should exist, especially when the clinician faces a high-energy comminuted diaphyseal fracture with associated knee and/or patella fractures or with some other distracting severe injuries in the polytrauma setting. In the literature, up to 57% of FN
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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), comminution ( 22 , 32 , 41 ), soft tissue defects ( 15 , 22 ), NSAIDs ( 19 , 20 , 23 , 42 ), and location of the fracture ( 25 , 29 , 32 , 42 , 43 ) were associated with nonunion in more than 50% of the studies. By contrast, polytrauma ( 18 , 19
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tomography (CT) imaging of the pelvis is performed as part of the polytrauma diagnostics, appropriate reconstructions can provide all the essential information for the diagnosis of a femoral head fracture. For patients with an isolated injury of the hip, AP
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
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Hospital Base de Valdivia, Valdivia, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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extremities of a 14-year-old girl with polytrauma. Pelvic unstable injuries, a left femur diaphyseal fracture, and distal femoral fracture are diagnosed. (B) CT scan sagittal and axial views show a displaced physeal femoral fracture type Salter–Harris III. (C
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, with specific constellations as polytrauma, vascular injury, instability, or open fracture demanding a surgical approach ( 5 , 6 ). The frequency of surgical therapy has increased over the years ( 7 ), including plate osteosynthesis via a conventional
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fractures are therefore minimally displaced and can be managed by early mobilization with the expectation that they will heal and leave remarkably little in the way of dysfunction, 3 – 5 though the outcome may be somewhat less favourable in polytrauma
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techniques. Conclusions Percutaneous intramedullary osteosynthesis, a minimally-invasive procedure with low morbidity, should benefit polytrauma patients. Percutaneous treatment can be used in single non-displaced or slightly displaced acetabular
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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vascular condition ( Fig. 4 ). 20 Fig. 4 Poor skin condition around the knee and leg. Most of the young patients needing arthroplasty for an acute fracture around the knee are seen in a poly-trauma setting. For these patients, initial
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, patients with isolated acetabular fractures with only minor additional injuries (e.g. sacral or radial fractures) but excluding difficult polytrauma were included. Inclusion time was between January 2016 and December 2021 and the need for operative
