Primärer Fixateur externe mit konsekutivem Verfahrenswechsel beim Polytrauma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-04

AUTHORS

G. Taeger, S. Ruchholtz, R. Zettl, C. Waydhas, D. Nast-Kolb

ABSTRACT

AIM OF STUDY: It is the purpose of the current investigation to determine whether immediate external fixation of fractures, which is a simple and fast procedure, followed by secondary planned conversion represents a safe and reliable procedure without additional trauma in multiply injured patients (ISS > 15). METHODS: With a prospective protocol, all data of multiply injured patients with fractures which required immediate osteosynthesis were registrated. Demographic data, severity of injury (AIS and ISS), data of primary surgery and osteosyntheses, course of intensive care (organ failure, local/systemic complications, infectious protocol), secondary conversion (time, duration, osteosynthesis related complications) and further course were analysed. RESULTS: Out of 679 mulitiply injured patients (ISS 22), 118 required immediate surgical procedures for intracranial injury and 175 for further indications. In 45 multiply injured patients (ISS 37), 83 external fixations were performed. According to 59 planned secondary conversions (13 days), one patient developed deep infection, no other local complication was registrated. The average time for conversion procedures lasted three times longer as in immediate external fixation (43 vs. 139 min). CONCLUSIONS: Immediate external fixation in multiply injured patients is fast and poor of complications. It is a expedient procedure which is safe and careful for critically ill patients. The required conversion procedure shows no raised rate of complications. More... »

PAGES

315-321

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001130100340

DOI

http://dx.doi.org/10.1007/s001130100340

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023969046

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12066469


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