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polytrauma patients. Estimations have shown mortality rates of more than double in this population, amounting to over 40%. 5 Knowledge and careful consideration of existing comorbidities are important, as an overwhelming majority of patients over the age
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injuries with ISS score ≥ 16. ‘Polytrauma’ is a Greek term that is also widely used in the trauma literature since 1975 ( 7 ). It derives from the merge of two words (’poly’ which means many or too much and ‘trauma’). It should be used when we need to
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Polytrauma: challenges and management Polytrauma (PT) caused by traffic accidents and falls are major cause of death and disability in patients under 50 years of age with immense socio-economic impact because of loss of productivity and
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– 282 . ( https://doi.org/10.1097/00005131-199209000-00002 ) 25 Riemer BL Butterfield SL Burke CJ 3rd & Mathews D . Immediate plate fixation of highly comminuted femoral diaphyseal fractures in blunt polytrauma patients . Orthopedics 1992
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thoracoabdominal CT with contrast is required for every polytrauma patient. CT scan at spine and pelvic levels may reveal lumbar and sacral compromise such as fractures and/or dislocations and is useful to analyze the various fractures’ displacements. MRI might
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. ( 41 ), Bouklouch et al . ( 51 ), McQueen etal. ( 54 ) Type of trauma-related Polytrauma and multiple injuries Park et al. ( 28 ), Branco et al . ( 33 ), Smolle et al . ( 37 ), Shadgan etal. ( 42 ), Wuarin et al
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between isolated pelvic fractures, multiple trauma (multiple injuries including the pelvis with an ISS < 16), and polytrauma (multiple injuries including the pelvis with an ISS ≥ 16). Fractures with additional relevant soft tissue damage or intrapelvic
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neurologically intact. Thoracolumbar fractures in polytrauma There is controversy regarding the appropriate timing of surgical stabilisation of thoracolumbar spine injuries in severely injured patients. A 2011 systematic review showed that polytrauma
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deaths due to acute haemorrhage. Poenaru et al studied polytrauma hospitalized patients with unstable pelvic lesions stabilized with an EF. 17 Superficial pin track infection occurred in three patients. Within the studied group seven deaths were
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the database search. The inclusion criteria were any ambulatory patient(s) sustaining a diaphyseal tibial fracture, either as an isolated injury or in the setting of polytrauma, who underwent antegrade IMN of the tibial shaft and had reported outcome
