Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma
Objective： To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma. Methods： The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control...
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| Veröffentlicht in: | Chinese journal of traumatology 2008-10, Vol.11 (5), p.283-287 |
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| container_title | Chinese journal of traumatology |
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| creator | 王爱民 殷翔 孙红振 杜全印 王子明 |
| description | Objective： To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma. Methods： The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control orthopaedics were discussed in this study.
Results： We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work. Conclusions： Injury Severity Score （ISS90） should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS90 of bone and joint injuries should be 16. We recommend that primary minimallyinvasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit （ICU）. |
| doi_str_mv | 10.1016/S1008-1275(08)60057-7 |
| format | Article |
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Results： We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work. Conclusions： Injury Severity Score （ISS90） should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS90 of bone and joint injuries should be 16. We recommend that primary minimallyinvasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit （ICU）.</description><identifier>ISSN: 1008-1275</identifier><identifier>DOI: 10.1016/S1008-1275(08)60057-7</identifier><identifier>PMID: 18822191</identifier><language>eng</language><publisher>China: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Damage control ; Female ; Fractures, Bone - surgery ; Humans ; Male ; Middle Aged ; Multiple Trauma - surgery ; Orthopaedics ; Orthopedic Procedures ; Retrospective Studies ; Wounds and injuries ; 损伤控制 ; 整形术 ; 治疗措施 ; 跌打损伤</subject><ispartof>Chinese journal of traumatology, 2008-10, Vol.11 (5), p.283-287</ispartof><rights>2008 the Editorial Board of Biomedical and Environmental Sciences</rights><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-7d393541fb7b5d28ef0abdb085b29ee0a8fe87bc957cddffd616db7bdac8a93b3</citedby><cites>FETCH-LOGICAL-c471t-7d393541fb7b5d28ef0abdb085b29ee0a8fe87bc957cddffd616db7bdac8a93b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85114X/85114X.jpg</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S1008-1275(08)60057-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18822191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>王爱民 殷翔 孙红振 杜全印 王子明</creatorcontrib><title>Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma</title><title>Chinese journal of traumatology</title><addtitle>Chinese Journal of Traumatology（English Edition）</addtitle><description>Objective： To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma. Methods： The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control orthopaedics were discussed in this study.
Results： We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work. Conclusions： Injury Severity Score （ISS90） should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS90 of bone and joint injuries should be 16. We recommend that primary minimallyinvasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit （ICU）.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Damage control</subject><subject>Female</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple Trauma - surgery</subject><subject>Orthopaedics</subject><subject>Orthopedic Procedures</subject><subject>Retrospective Studies</subject><subject>Wounds and injuries</subject><subject>损伤控制</subject><subject>整形术</subject><subject>治疗措施</subject><subject>跌打损伤</subject><issn>1008-1275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAUhb0AtaXwE0AWC0QXobYzjp0VqspTqtQFsLb8uJ64JPHUTqaa-fV4mhGw6-pa9nfvuT4HodeUfKCENpc_KCGyokzw90ReNIRwUYln6Ozv9Sl6kfMdIStWnk7QKZWSMdrSMxQ-6UGvAds4Tin2OKapixsNLtiMw4h5ja3OkHH0OMMWEuBN7HdT0vOg8UMXcae3gAcdxn6H85yncgL3_xy8wC_Rc6_7DK-O9Rz9-vL55_W36ub26_frq5vKrgSdKuHqtuYr6o0w3DEJnmjjDJHcsBaAaOlBCmNbLqxz3ruGNq6wTlup29rU5-himfugR6_HtbqLcxqLotp3Nu_3ClixhfDiUmHfLewmxfsZ8qSGkC30vR4hzlk1bUNYKw8gX0CbYs4JvNqkMOi0U5SoQwbqMQN1MFuV-piBEqXvzVFgNgO4f13HAArwcQGgWLINkFS2AUZbjEtgJ-VieFLi7XG1Lo7r-1B-bLT97UMPismaMyF4_QfPFqZU</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>王爱民 殷翔 孙红振 杜全印 王子明</creator><general>Elsevier B.V</general><general>Department of Orthopaedic and Traumatic Surgery,Daping Hospital/Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20081001</creationdate><title>Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma</title><author>王爱民 殷翔 孙红振 杜全印 王子明</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-7d393541fb7b5d28ef0abdb085b29ee0a8fe87bc957cddffd616db7bdac8a93b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Damage control</topic><topic>Female</topic><topic>Fractures, Bone - 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香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese journal of traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>王爱民 殷翔 孙红振 杜全印 王子明</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma</atitle><jtitle>Chinese journal of traumatology</jtitle><addtitle>Chinese Journal of Traumatology（English Edition）</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>11</volume><issue>5</issue><spage>283</spage><epage>287</epage><pages>283-287</pages><issn>1008-1275</issn><abstract>Objective： To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma. Methods： The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retrospectively analyzed. And the methods and timing of damage control orthopaedics were discussed in this study.
Results： We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work. Conclusions： Injury Severity Score （ISS90） should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS90 of bone and joint injuries should be 16. We recommend that primary minimallyinvasive external fracture stabilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medical stabilization for these patients in intensive care unit （ICU）.</abstract><cop>China</cop><pub>Elsevier B.V</pub><pmid>18822191</pmid><doi>10.1016/S1008-1275(08)60057-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB Electronic Journals Library |
| subjects | Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Damage control Female Fractures, Bone - surgery Humans Male Middle Aged Multiple Trauma - surgery Orthopaedics Orthopedic Procedures Retrospective Studies Wounds and injuries 损伤控制 整形术 治疗措施 跌打损伤 |
| title | Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma |
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