Damage Control and Provisional Fixation

Hyoung Keun Oh

doi:10.12671/jkfs.2010.23.3.346

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Oh: Damage Control and Provisional Fixation

Review Article from Symposium

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2010; 23(3): 346-352.

Published online: 31 July 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.3.346

Damage Control and Provisional Fixation

Hyoung Keun Oh, M.D

Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Goyang, Korea.

Address reprint requests to: Hyoung Keun Oh, M.D. Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, 2240, Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, osd11@paik.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Figure 1

(A) 49 years old female was sustained right femoral shaft fracture with trucal injury.

(B) Provisional fixation using external fixation was performed until patient's condition was optimized.

(C) Conversion to internal fixation using plate was performed and solid union was obtained.

Figure 2

(A) 43 years old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and emboilzation was performed as primary treatmentfor hemorrhage control (arrow).

(B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, conversion to internal fixation was performed.

Table 1

Parameters to consider when deciding to implement damage control orthopedic protocol²⁶⁾

Table 2

End points for damage control resuscitation³³⁾

References

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