Management of lower limb fractures in polytrauma patients with delayed referral in a mass disaster

Autor:	Mohammed Farooq Butt, Mohammed Ramzan Mir, Anwar Hussain, Shabir Ahmed Dhar, Altaf Ahmed Kawoosa, Manzoor Ahmed Halwai
Rok vydání:	2008
Předmět:	medicine.medical_specialty Osteosynthesis External fixator Referral business.industry medicine.disease Polytrauma Lower limb Surgery Fixation (surgical) Orthopedic surgery General Earth and Planetary Sciences Medicine business Mass disaster General Environmental Science
Zdroj:	Injury. 39:947-951
ISSN:	0020-1383
DOI:	10.1016/j.injury.2008.02.027
Popis:	Summary Polytrauma cases in mass disasters present several challenges to the orthopaedic surgeon. Delayed referral, multisystem involvement and the requirement to manage coexisting injuries by interhospital transfer often make infection an inevitable risk. 28 patients with polytrauma were studied after being referred after being recovered from the debris of their homes in the Kashmir earthquake. All patients were referred more than 24 h after sustaining their injuries. The lower limb fractures were fixed by external fixators in all these cases before interhospital transfer for the management of their co existing injuries. Return referral to the orthopaedic facility occurred after an average of 25 days. All cases were converted to Ilizarov fixation. The results bear out the fact that the Ilizarov method may be well suited for conversion osteosynthesis of lower limb fractures in polytrauma cases.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::d83b0f8604bfdc470c9d62a0c58f9805 https://doi.org/10.1016/j.injury.2008.02.027 Zobrazit plný text záznamu Full Text from ScienceDirect