Temporary bridging trans-hip external fixation in damage control orthopaedics treatment after severe combat trauma : A clinical case series
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Date
2023-03
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Abstract
The role of external fixation in Damage Control Orthopaedics has been well described. Temporary external fixation has been recommended to provide relative bone stability while the soft tissue heals, prior to formal open reduction and internal fixation. Temporary bridging external fixation, that spans the joint, is recommended as primary skeletal stabilization in complex intra-articular and peri-articular fractures, in extensive peri-articular soft-tissue damage around the knee, ankle, elbow and wrist joints. Works devoted to temporary trans-hip external fixation in treatment of complex high-energy injuries are relatively rare. The purpose of this article is to present our experience in using temporary hip spanning external fixation during primary treatment of six patients suffered from complex open intra-articular and peri-articular fractures of the proximal femoral bone with extensive soft tissue damage due to war blast or high-velocity gunshot trauma. Primary management was based on the concept of Advanced Trauma Life Support and Damage Control Orthopaedics. Conversion to definitive bone reconstruction was performed on the next stage of the treatment after general and local stabilization.
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Funding Information: We express our appreciation to Dr. Elina Jumtina for her help in preparing this manuscript. Publisher Copyright: © 2023 Elsevier Ltd
Keywords
damage control orthopaedics, spanning external fixation, tion high-energy fractur, proximal femur, war trauma, 3.2 Clinical medicine, 1.1. Scientific article indexed in Web of Science and/or Scopus database
Citation
Lerner, A, Jakusonoka, R, Jumtins, A & Rothem, D 2023, 'Temporary bridging trans-hip external fixation in damage control orthopaedics treatment after severe combat trauma : A clinical case series', Injury, vol. 54, no. 3, pp. 991-995. https://doi.org/10.1016/j.injury.2023.01.007