Damage Control Surgery in Polytrauma Patients with Pelvic Fractures. Is It Possible to Use Internal Fixation?
Current polytrauma management is multidisciplinary, with Damage Control Surgery (DCS), Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR) being applied in the first few hours after injury. The most severe group of polytrauma patients are those with circulatory instability and m...
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| Veröffentlicht in: | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca 2017, Vol.84 (4), p.304-308 |
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| container_title | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca |
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| creator | Havlůj, L Džupa, V Gürlich, R |
| description | Current polytrauma management is multidisciplinary, with Damage Control Surgery (DCS), Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR) being applied in the first few hours after injury. The most severe group of polytrauma patients are those with circulatory instability and massive blood loss as a consequence of unstable pelvic fractures. In treating these patients, of crucial importance is the speed and quality of stabilisation of pelvic fracture fragments. The authors present two case reports of polytrauma patients with unstable pelvic fractures, in whom open reduction and internal fixation was performed on the anterior fracture segment through extended laparotomy in order to stop bleeding into the abdominopelvic cavity as part of the DCS approach. Key words: exsanguination, polytrauma, unstable pelvic fracture, plate fixation. |
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The authors present two case reports of polytrauma patients with unstable pelvic fractures, in whom open reduction and internal fixation was performed on the anterior fracture segment through extended laparotomy in order to stop bleeding into the abdominopelvic cavity as part of the DCS approach. 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The authors present two case reports of polytrauma patients with unstable pelvic fractures, in whom open reduction and internal fixation was performed on the anterior fracture segment through extended laparotomy in order to stop bleeding into the abdominopelvic cavity as part of the DCS approach. Key words: exsanguination, polytrauma, unstable pelvic fracture, plate fixation.</abstract><cop>Czech Republic</cop><pmid>28933334</pmid><tpages>5</tpages></addata></record> |
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| ispartof | Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca, 2017, Vol.84 (4), p.304-308 |
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| language | cze |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Bone Plates Emergencies Fracture Fixation, Internal - methods Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Hemostasis, Surgical - methods Humans Multiple Trauma - complications Multiple Trauma - surgery Pelvic Bones - injuries Treatment Outcome |
| title | Damage Control Surgery in Polytrauma Patients with Pelvic Fractures. Is It Possible to Use Internal Fixation? |
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