[Multiple trauma - treatment of skeletal injuries with damage control orthopaedics]
Abstract:
New methods of treating seriously injured patients have been introduced in the field of trauma surgery since 1993. These consist mostly of differentiated and rapid procedures of treatment of the injured skeleton, with the aim of preventing the development of severe haemorrhagic shock and exsanguination of the patient. The precondition for introducing these techniques is the study of the organisms inflammatory response to trauma. Since 2000, this approach has been called damage control orthopaedics. The authors deal with the history of this method, the physiology of severe trauma, selection of patients eligible for this method and the appropriate timing of definitive treatment.
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