The evolution of damage control orthopedics: current evidence and practical applications of early appropriate care

Jean-Claude G D'Alleyrand; Robert V O'Toole

doi:10.1016/j.ocl.2013.06.004

The evolution of damage control orthopedics: current evidence and practical applications of early appropriate care

Orthop Clin North Am. 2013 Oct;44(4):499-507. doi: 10.1016/j.ocl.2013.06.004. Epub 2013 Aug 21.

Authors

Jean-Claude G D'Alleyrand¹, Robert V O'Toole

Affiliation

¹ Department of Orthopaedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA; Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.

PMID: 24095066
DOI: 10.1016/j.ocl.2013.06.004

Abstract

This article summarizes the evolution of literature and practice related to fracture care in polytrauma patients. Particular emphasis is given to the management of femoral shaft fractures and the concept of damage control in these complex patients. The application of these guidelines in common clinical practice is also discussed.

Keywords: Damage control orthopedics; Early appropriate care; Early total care; Polytrauma.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Fracture Fixation
Fractures, Bone / surgery*
Fractures, Bone / therapy
Humans
Multiple Trauma / surgery*
Multiple Trauma / therapy
Time Factors