Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom
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Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom
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Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom
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Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom
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syndrome; CXR, chest x-ray; DCO, damage control orthopaedics; DCR, damage control resuscitation; DCS, damage control surgery; ED, emergency department; FAST, focused assessment with sonography for trauma; HAI, hospital-acquired infection; IR, interventional
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daily clinical practice, initial decisions are based mainly on the theory of damage control orthopedics (DCO) ( 35 ), whose main objectives are bleeding control and stabilization of the hemodynamic status and prevention of complications ( 30 ). The main
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patients is primarily aimed at securing vital functions and controlling bleeding, secondarily at a favorable modulation of the post-traumatic immune response. The concept of ‘damage control’ in the surgical care of severely injured patients with initial
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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, spleen and liver laceration, left acromion and radial shaft fractures, a left transverse acetabular fracture, and a left trimalleolar ankle fracture. Following initial resuscitation and during the primary damage control surgical procedure, he received K
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fracture and is considered a local ‘damage control’ strategy. 9 The protocol consists of initial ankle-spanning external fixation (delta or rectangular frame) with or without fibular fixation and delayed definitive ORIF until soft-tissues are restored
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unstable patient. We also use temporary EF in patients with multiple trauma for similar reasons. Rapid and early stabilization of multiple fractures improves patient survival (this is called damage control surgery). 1 – 5 Damage control surgery is the
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orthopaedic trauma must be ranked as ‘stable’, ‘borderline’, ‘unstable’ or ’in extremis ’ and treatment should be guided according to the evolving concept of damage control orthopaedics. 19 Chest and head injuries, significant abdominal injuries
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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there is not even enough bone left for a potential knee arthrodesis. Most of these patients are initially managed with external fixation during the initial damage control procedure. Therefore, this is not an emergency situation and there is no need to
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management in the UK. Principles of damage control surgery, evacuation pathways and the early use of specialist doctors, blood products and antibiotics to promptly treat, stabilize and transfer soldiers to higher levels of care have been successfully
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Gustilo IIIB fracture in the proximal third of the tibial shaft was initially treated with an external fixator for damage control (a). Anteroposterior (b) and lateral (c) radiographs at 10 months after nailing with a non-reamed intramedullary (IM) nail 9
