Damage control orthopaedics in severe polytrauma with femur fracture. [artículo]
Por: Caba Doussoux, Pedro [Cirugía Ortopédica y Traumatología]
| García Fuentes, Carlos [Medicina Intensiva] | León Baltasar, José Luis [Cirugía Ortopédica y Traumatología] | Resines Erasun, Carlos [Cirugía Ortopédica y Traumatología ].
Colaborador(es): Servicio de Cirugía Ortopédica y Traumatología | Servicio de Medicina Intensiva.
Editor: Injury, 2012Descripción: 43 Suppl 2:S42-6.Recursos en línea: Solicitar documento Resumen: OBJECTIVE: To evaluate the rate of systemic complications and mortality in severe polytrauma patients with associated femur fracture treated by early external fixation of femur.
PATIENTS AND METHODOLOGY: We made a retrospective cohort study with forty-one adult multitrauma patients (New Injury Severity Score ≥ 19) with femur fracture treated by external fixation following Damage Control Orthopaedic surgery. The mortality rates, TRISS analysis, incidence of ARDS and MOF were analysed.
RESULTS: The mean NISS was 41.2 and the mean age 32.7. 50% of patients were in shock on admission. All patients were treated in the first 12 hours with external fixation. 30% of patients developed ARDS and six patients had MOF. Five patients treated by external fixation died. Difference between predicted mortality by TRISS and actual mortality showed a reduction of 15.9% (0.71 predicted survival versus 0.88 real survival).
CONCLUSIONS: An aggressive and early Damage Control approach to treat femur fractures in severe polytrauma patients led to low mortality rate comparing to the predicted mortality by TRISS.
| Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
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Artículo
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PC4395 (Navegar estantería) | Disponible |
Formato Vancouver:
Caba-Doussoux P, León-Baltasar JL, García-Fuentes C, Resines-Erasun C. Damage control orthopaedics in severe polytrauma with femur fracture. Injury. 2012 Dec;43 Suppl 2:S42-6.
PMID: 23622991
Contiene 33 referencias
OBJECTIVE: To evaluate the rate of systemic complications and mortality in severe polytrauma patients with associated femur fracture treated by early external fixation of femur.
PATIENTS AND METHODOLOGY: We made a retrospective cohort study with forty-one adult multitrauma patients (New Injury Severity Score ≥ 19) with femur fracture treated by external fixation following Damage Control Orthopaedic surgery. The mortality rates, TRISS analysis, incidence of ARDS and MOF were analysed.
RESULTS: The mean NISS was 41.2 and the mean age 32.7. 50% of patients were in shock on admission. All patients were treated in the first 12 hours with external fixation. 30% of patients developed ARDS and six patients had MOF. Five patients treated by external fixation died. Difference between predicted mortality by TRISS and actual mortality showed a reduction of 15.9% (0.71 predicted survival versus 0.88 real survival).
CONCLUSIONS: An aggressive and early Damage Control approach to treat femur fractures in severe polytrauma patients led to low mortality rate comparing to the predicted mortality by TRISS.
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