Damage control orthopaedics: evolving concepts in the treatment of patients who have sustained orthopaedic trauma.

作者: Craig S. Roberts , Hans-Christoph Pape , Alan L. Jones , Arthur L. Malkani , Jorge L. Rodriguez

DOI: 10.2106/00004623-200502000-00030

关键词: MedicineIntensive care medicineDamage control orthopaedicsOrthopaedic traumaPolytraumaSurgeryOrthopedic surgeryTreatment options

摘要: Abstract In some groups of polytrauma patients, particularly those with chest injuries, head and mangled extremities, early total care major bone fractures may be potentially harmful. Delaying all orthopaedic surgery, however, is also not always the best approach. these situations, damage control orthopaedics, which emphasizes stabilization injury rather than repair will add little additional physiologic insult to patient a treatment option that should considered.

参考文章(101)
Robert E. Johnson, Arthritis and Allied Conditions. A Textbook of Rheumatology. Ed. 11. Journal of Bone and Joint Surgery, American Volume. ,vol. 71, pp. 1116- 1116 ,(1989) , 10.2106/00004623-198971070-00029
G M Georgiadis, F F Behrens, M J Joyce, A S Earle, A L Simmons, Open tibial fractures with severe soft-tissue loss. Limb salvage compared with below-the-knee amputation. Journal of Bone and Joint Surgery, American Volume. ,vol. 75, pp. 1431- 1441 ,(1993) , 10.2106/00004623-199310000-00003
R J Caudle, P J Stern, Severe open fractures of the tibia. The Journal of Bone & Joint Surgery. ,vol. 69, pp. 801- 807 ,(1987) , 10.2106/00004623-198769060-00002
PETER J. NOWOTARSKI, CLIFFORD H. TUREN, ROBERT J. BRUMBACK, J. MARK SCARBORO, Conversion of external fixation to intramedullary nailing for fractures of the shaft of the femur in multiply injured patients. Journal of Bone and Joint Surgery, American Volume. ,vol. 82, pp. 781- 788 ,(2000) , 10.2106/00004623-200006000-00004
R M Smith, P V Giannoudis, Trauma and the immune response. Journal of the Royal Society of Medicine. ,vol. 91, pp. 417- 420 ,(1998) , 10.1177/014107689809100805
Markus A. Weigand, Heinfried Schmidt, Mehdi Pourmahmoud, Qingyu Zhao, Eike Martin, Hubert J. Bardenheuer, Circulating intercellular adhesion molecule-1 as an early predictor of hepatic failure in patients with septic shock. Critical Care Medicine. ,vol. 27, pp. 2656- 2661 ,(1999) , 10.1097/00003246-199912000-00008
Michael F. Rotondo, David H. Zonies, THE DAMAGE CONTROL SEQUENCE AND UNDERLYING LOGIC Surgical Clinics of North America. ,vol. 77, pp. 761- 777 ,(1997) , 10.1016/S0039-6109(05)70582-X
Panagiotis V Giannoudis, Malcolm R Smith, Robert T Evans, Mark C Bellamy, Pierre J Guillou, Serum CRP and IL-6 levels after trauma: Not predictive of septic complications in 31 patients Acta Orthopaedica Scandinavica. ,vol. 69, pp. 184- 188 ,(1998) , 10.3109/17453679809117625
Anne M. Bowcock, Anuradha Ray, Henry Erlich, Pravinkumar B. Sehgal, Rapid detection and sequencing of alleles in the 3′ flanking region of the Interleukin-6 gene Nucleic Acids Research. ,vol. 17, pp. 6855- 6864 ,(1989) , 10.1093/NAR/17.17.6855
Chung-Chi Huang, Ying-Huang Tsai, Ning-Hung Chen, Meng-Chih Lin, Thomas C. Y. Tsao, Cheng-Huei Lee, Kuang-Hung Hsu, Spontaneous variability of cardiac output in ventilated critically ill patients. Critical Care Medicine. ,vol. 28, pp. 941- 946 ,(2000) , 10.1097/00003246-200004000-00005