Surgical Management of Musculoskeletal Trauma.

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Abstract

[Indexed for MEDLINE] 13. J Trauma Acute Care Surg. 2024 May 1;96(5):694-701. doi: 10.1097/TA.0000000000004250. Epub 2024 Jan 16. Damage-control orthopedics or early total care: What you need to know. Stevens NM(1), Tejwani NC. Author information: (1)From the Department of Orthopedics, NYU Langone Health, East Meadow, New York. Patients with multisystem injuries are defined as multiply injured patients and may need multiple surgical procedures from more than one specialty. The importance of evaluating and understanding the resuscitation status of a multiple-injury patient is critical. Orthopedic strategies when caring for these patients include temporary stabilization or definitive early fixation of fractures while preventing further insult to other organ systems. This article will define multiple injuries and discuss specific markers used in assessing patients' hemodynamic and resuscitation status. The decision to use damage-control orthopedics or early total care for treatment of the patient are based on these factors, and an algorithm is presented to guide treatment. We will also discuss principles of external fixation and the management of pelvic trauma in a multiple-injury patient. Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/TA.0000000000004250