Improved survival of multiply injured patients by early internal fixation and prophylactic mechanical ventilation

Goris, R.J.A.; Gimbrère, J.S.F.; Niekerk, J.L.M. van; Schoots, F.J.; Booy, L. H. D.

doi:10.1016/s0020-1383(82)80010-7

Cited by 24 publications

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References 11 publications

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“…In most of the patients, internal fixation was done within 5 days of injury. 4,[6][7][8][9][10][11][12] In patients who were not fit for surgery due to associated injuries, haemodynamically unstable or presented late, fixation was done after 5 days of injury. 2,7,11,12 All the fractures were following trauma.…”

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confidence: 99%

“…2,7,11,12 All the fractures were following trauma. Based on the fracture position, joint motion, pain, oedema the results are graded as excellent if the final score is between 0-3, good (final score is between 4-7), fair (if [8][9][10][11][12], poor if final score is above 12. 11 Cases suitable for operative treatment were treated by interlocked intramedullary nailing platingor external fixators.…”

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confidence: 99%

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Management of compound fractures of shaft femur: a study of 55 cases

Singla¹,

Aggarwal²,

Singh³

2016

Int J Res Orthop

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Background: Compound femoral shaft fractures are a major cause of morbidity and mortality. Conservative treatment necessitates a long stay in hospital for traction and subsequent immobilization and chances of wound infection are much higher. The objective of this study was to find out the outcome of treatment of open femoral shaft fractures by various modalities like interlocked nailing, plating and external fixation.Methods: Fifty five patients with open femoral shaft fractures were treated under spinal or general anaesthesia. These fractures were in proximal one third (n=3), middle third (n=29), distal third (n=21). Fifty patients underwent surgery within 5 days of injury. Patients were followed for a minimum of 12 Months.Results: Patients achieved union in an average time of 20 weeks (range 17 to 24 weeks). Full weight bearing was started in a mean time of 16 weeks. Mean duration of hospital stay was 20 days. Complications were occurred in ten patients (4 non-unions and 3 patients with deep infection and 3 patients developed chronic osteomyelitis). Conclusions: The results were excellent in 31, good in 13, fair in 3 and poor in 7 patients while one patient lost follow up as he was from far off place. We concluded that open femoral shaft fracture can be well managed by surgical intervention.

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