Early Total Care Versus Damage Control Orthopedics in Floating Knee Injury: Analysis of Radiological and Functional Outcomes

Ethiraj, Prabhu; Shringeri, Ajay S; P, Arun Prasad; Shanthappa, Arun H; Nagarajan, Vishnudharan

doi:10.7759/cureus.25615

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…In term of DC treatment for multiple trauma, it is suggested that DC can effectively reduce the mortality and complication rate, as well as shorten the ICU duration [ 24 ]. For floating knee injury, DC poses less mortality rate but poor functional recovery outcome [ 25 ]. On the other hand, a recent systemic review on databases from 1950 to 2019 finds few indications for DC as a reliable method and suggests that it should be used only when definitive surgery cannot be performed [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of damage control orthopedics strategy in the management of lower limb trauma

Li,

Gao,

Zuo

et al. 2024

Surgery Open Science

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Section: Discussionmentioning

confidence: 99%

Efficacy of damage control orthopedics strategy in the management of lower limb trauma

Li,

Gao,

Zuo

et al. 2024

Surgery Open Science

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“…This is related to the staged therapeutic intervention of DCO for patients, which allows for the accurate implementation of appropriate treatment according to the patient's condition. The implementation of definitive surgery enhances the body's tolerance to surgery and reduces the risk of surgery while ensuring the stability of vital signs [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Application of damage control orthopaedics in treatment of massive hemorrhage in severe traumatic fractures

2023

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This study is designed to investigate the clinical application value of the damage control orthopaedics (DCO) concept in guiding the treatment of severe traumatic fractures with massive hemorrhage. Using the introduction of the DCO concept in the hospital in June 2021 as the cut-off point, patients with severe traumatic fractures and major bleeding admitted in the two periods before the introduction of the DCO concept (January 2021~May 2021) and after the introduction of the DCO concept (June 2021~January 2022) were included as control group (n = 39) and observation group (n = 39), respectively. The control group was given conventional surgery and treatment, whereas the DCO group received treatment and surgery under the guidance of the DCO concept. The results of the intervention were compared between the two groups. The time from admission to definitive surgery was longer in the DCO group than that in the control group. Fewer suspended red blood cells, fresh frozen plasma and platelets were used in the DCO group compared to the control group. The total hospital stay was shorter and the rates of postoperative complications and mortality were lower in the DCO group than those in the control group. Patients were followed up for 6–8 months, with an average of (6.87 ± 1.15) months, and the results showed that the fracture healing rate in DCO group was higher than that in the control group. The concept of DCO could correctly guide the treatment of severe traumatic fractures complicated by massive hemorrhage, and improve the therapeutic safety, reduce the incidence of postoperative complications and mortality, and enhance the later fracture healing rate of patients.

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Early Total Care Versus Damage Control Orthopedics in Floating Knee Injury: Analysis of Radiological and Functional Outcomes

Abstract: IntroductionFloating knee injury (FKI) occurs as a result of a high-velocity impact. We assessed the radiological and functional outcomes of FKIs treated by various fixation methods, by damage control orthopedics (DCO) or early total care (ETC).

Cited by 2 publications

References 14 publications

Efficacy of damage control orthopedics strategy in the management of lower limb trauma

Efficacy of damage control orthopedics strategy in the management of lower limb trauma

Application of damage control orthopaedics in treatment of massive hemorrhage in severe traumatic fractures

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