Diagnosis and Management of Orthopaedic Injuries in Politraumatized Patients
Keywords:
Ortopedia, Fraturas, PolitraumatizadosAbstract
As soon as the initial assesment is completed, with performance of the basic manouvers from ATLS® (Advanced Trauma Life Support), the management of exposed fractures stands among the priorities in the orthopaedic care of the multiple injured pacient. Vigorous washing, proper debrising, antitetanic vaccine and early broad-spectrum antibiotic therapy are cornerstones for their suitable management. Pelvis and hip fractures, often related to high energy trauma, are the only ones that can cause early mortality because of retroperitoneal bleeding, meaning emergency in Traumatology. Lower limb fractures presents with high mortality rates, and the tibia’s are known as the most frequent among those exposed and those in long bones. Despite the femur fractures are less frequent, they use to leave more severe sequelae. Unlike these, scapula, clavicle, radius and ulna fractures receive simple reduction and immobilization, requiring surgical intervention only in particular cases. The radiologic evaluation in multiple trauma pacients should never intefere or postpone the reanimation manouvers. Two orthogonal radiographic incidences are usually enough to visualize most of the orthopaedic injuries. Additional imaging modalities are usually save for later evaluation of more complex injuries and anatomic structures.Downloads
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).