The results of a retrospective analysis of a series of 73 polytraumatised patients with severe head injuries are presented. The neurological outcome has been less favourable in cases with early osteosynthesis of peripheral fractures compared to cases in which such operations had been delayed. Therefore it seems advisable to postpone the non-vital operative treatment of osteoarticular lesions until stabilisation of the cerebral and vegetative situation.
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http://dx.doi.org/10.1007/BF01406619 | DOI Listing |
Rev Esp Cir Ortop Traumatol
November 2024
Departamento de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castellón de la Plana, Spain; Departamento de Medicina y Cirugía, Universidad Jaime I, Castellón, Spain.
Introduction: Bullfighting festivals are attributed to the cultural idiosyncrasies of the Ibero-American people, posing an extreme risk to the physical integrity of the participants. Spain is considered the country with the highest number of bull-related celebrations worldwide and, therefore, with the highest number of patients injured by bullfighting trauma treated, thus justifying a public health problem. The generalities associated with this type of trauma define the people injured as polytraumatised patients.
View Article and Find Full Text PDFEur Surg Res
October 2024
Department of Orthopaedics, Trauma and Reconstructive Surgery, RWTH Aachen University, Aachen, Germany.
Introduction: Coagulopathic disorders (CDs) complicate treatment in polytraumatised patients. Against this background, operative strategies for fracture management are controversial in this cohort. This study therefore investigated the effects of two established operative concepts, early total care (ETC) and damage control orthopaedics (DCO), on CD in a large-animal polytrauma (PT) model.
View Article and Find Full Text PDFEur J Med Res
July 2024
Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle, Merseburger Strasse 165, 06112, Halle (Saale), Germany.
Rev Esp Cir Ortop Traumatol
May 2024
Departamento de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Castellón, Castelló de la Plana, España; Departamento de Medicina y Cirugía, Universidad Jaime I, Castellón, España.
Introduction: Bullfighting festivals are attributed to the cultural idiosyncrasies of the Ibero-American people, posing an extreme risk to the physical integrity of the participants. Spain is considered the country with the highest number of bull-related celebrations worldwide and, therefore, with the highest number of patients injured by bullfighting trauma treated, thus justifying a public health problem. The generalities associated with this type of trauma define the people injured as polytraumatised patients.
View Article and Find Full Text PDFZentralbl Chir
August 2024
Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Gottingen, Deutschland.
The most common organs affected by abdominal trauma are the spleen and the liver, often in combination. Pancreatic injuries are rare. In the case of blunt abdominal trauma, which is much more common, a clinical and laboratory examination as well as sonography should be performed.
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