Mortality in Multiple Trauma Patients With Fractures

Bone, Lawrence B.; McNamara, Kevin; Shine, Barbara; Border, John R.

doi:10.1097/00005373-199408000-00019

Cited by 75 publications

(19 citation statements)

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“…In one study of 326 patients >60 years old, the mortality rate was 18% for patients with delayed treatment and 11% in patients whose fractures were stabilized within 24 h, although the difference was not statistically significant [27]. Observational studies have concluded that early fracture stabilization and early total care in the elderly reduce the risk of pulmonary complications, systemic sepsis, and subsequent multiorgan failure [28,29].…”

Section: Timing Of Surgerymentioning

confidence: 99%

How to optimize patients for geriatric fracture surgery

et al. 2010

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Low-energy fragility fractures account for >80% of fractures in elderly patients, and with aging populations, geriatric fracture surgery makes up a substantial proportion of the orthopedic workload. Elderly patients have markedly less physiologic reserve than do younger patients, and comorbidity is common. Even with optimal care, the risk of mortality and morbidity remains high. Multidisciplinary care, including early orthogeriatric input, is recommended to anticipate and treat complications. This article explores modern treatment strategies for this challenging group of patients and provides guidance for systematically preparing and optimizing elderly patients before surgery, based on best available current evidence and recommendations by relevant health organizations.

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Section: Timing Of Surgerymentioning

confidence: 99%

How to optimize patients for geriatric fracture surgery

et al. 2010

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“…Der [2,4,5,8,12,13,14,18,19,21,28,29,30,36]. So stellt die im amerikanischen Schrifttum bisher überwiegend propagierte sofortige intramedulläre Stabilisierung der Oberschenkelschaftfraktur beim Schwerverletzten ein erhebliches zusätzliches operatives Trauma dar [4,5].…”

Section: Materials Und Methodeunclassified

“…So stellt die im amerikanischen Schrifttum bisher überwiegend propagierte sofortige intramedulläre Stabilisierung der Oberschenkelschaftfraktur beim Schwerverletzten ein erhebliches zusätzliches operatives Trauma dar [4,5]. Nach primären Marknagelungen von Oberschenkelfrakturen beim Polytrauma wird von tödlichen klinischen Verläufen berichtet [14,19].…”

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Primärer Fixateur externe mit konsekutivem Verfahrenswechsel beim Polytrauma

et al. 2002

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“…The best prognostic improvement factors are multidisciplinary management and early fracture fixing [55,56,57]. For a same ISS and comparable age group, the death rate can be reduced threefold in case of early fracture management [58]. In pelvic fractures with intense bleeding, mainly in case of pelvic ring disruption, transfusion is mandatory in nearly 50% of cases [8].…”

Section: Complicationsmentioning

confidence: 99%

Traumatic injuries: imaging of pelvic fractures

et al. 2002

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Pelvic trauma includes a great variety of very polymorphous lesions, differing from each other by their anatomical aspect, their context and therapeutic implication: In order to be efficient, the radiologist first has to know diagnostic value of each radiological technique, in order to suggest the investigation strategy appropriate to any clinical situation. Then, he must be able to accurately describe fractures and to include them into a classification in agreement with the clinician. Pelvic fractures form a polymorphous group. In the isolated acetabular fractures, function is mainly at stake. Radiological assessment relies upon good-quality plain films completed by CT imaging in fine slices with multiplanar reconstruction. Letournel's classification remains the reference standard. Management consists mainly of re-establishing a joint congruence to prevent early coxarthrosis. Pelvic fractures often occur in violent trauma and are associated with visceral lesions, putting vital prognosis at stake. Radiological assessment must be included in multidisciplinary management and CT imaging stands for the most complete and least time-consuming device, allowing for investigation of both visceral and osseous lesions. In case of hemodynamic shock, external fracture stabilization and embolization of pelvic bleeding are preponderant. Tile/Association for Osteosynthesis classification is the most used presently. It allows good description of mechanisms and lesions and more adapted management.

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Mortality in Multiple Trauma Patients With Fractures

Cited by 75 publications

References 0 publications

How to optimize patients for geriatric fracture surgery

How to optimize patients for geriatric fracture surgery

Primärer Fixateur externe mit konsekutivem Verfahrenswechsel beim Polytrauma

Traumatic injuries: imaging of pelvic fractures

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