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[Primary external fixation with consecutive procedural modification in polytrauma].

G Taeger1, S Ruchholtz, R Zettl

  • 1Klinik und Poliklinik für Unfallchirurgie, Universität Essen, Hufelandstrasse 55, 45122 Essen. georg.taeger@uni-essen.de

Der Unfallchirurg
|June 18, 2002
PubMed
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Immediate external fixation followed by planned conversion is a safe and effective treatment for multiply injured patients. This approach minimizes additional trauma, offering a reliable option for critically ill individuals.

Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Critical Care Medicine

Background:

  • Multiply injured patients often require immediate fracture management.
  • Traditional approaches may involve risks of additional trauma.
  • Evaluating novel, less invasive strategies is crucial.

Purpose of the Study:

  • To assess the safety and reliability of immediate external fixation followed by secondary conversion in multiply injured patients (Injury Severity Score > 15).
  • To determine if this two-stage approach avoids additional trauma.

Main Methods:

  • Prospective data collection of multiply injured patients requiring immediate osteosynthesis.
  • Analysis of demographic data, injury severity (AIS, ISS), primary surgery details, intensive care course, and secondary conversion outcomes.

Related Experiment Videos

  • Registration of organ failure, local/systemic complications, and osteosynthesis-related issues.

    • Main Results:

    • 83 external fixations were performed in 45 multiply injured patients (ISS 37).
    • 59 planned secondary conversions occurred after an average of 13 days.
    • Only one patient developed a deep infection; no other local complications were noted. Conversion procedures took longer (139 min) than initial fixation (43 min).

    Conclusions:

    • Immediate external fixation is a rapid, low-complication procedure for multiply injured patients.
    • This technique is safe and beneficial for critically ill patients.
    • Secondary conversion procedures do not show an increased rate of complications.