2012, Volume 6, Issue 3
Frontiers of Medicine >> 2012, Volume 6, Issue 3 doi: 10.1007/s11684-012-0218-2
Orthopedic management in the polytrauma patient
Department of Orthopaedic Surgery, Wake Forest Baptist Health, Medical Center Blvd, Winston-Salem, NC 27103, USA
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Abstract
The past century has seen many changes in the management of the polytraumatized orthopedic patient. Early recommendations for non-operative treatment have evolved into early total care (ETC) and damage control orthopedic (DCO) treatment principles. These principles force the treating orthopaedist to take into account multiple patient parameters including hypothermia, coagulopathy and volume status before deciding upon the operative plan. This requires a multidisciplinary approach involving critical care physicians, anesthesiologists and others.
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