Early Definitive Fracture Fixation with Polytrauma: Advantages Versus Systemic/Pulmonary Consequences

  • Hans-Christoph Pape
  • Harald Tscherne


A considerable change in the treatment of fractures in patients with blunt multiple injuries has occurred during the last decades. During the 1950s and 1960s a high mortality rate in multiplyinjured patients appeared to be inevitable. The major issue was die rate of fracture healing. Better union of femoral fractures was believed to occur in patients with delayed operative stabilization (more than 6 days after trauma). It was arguedys that the operation itself represented a major insult, with considerable blood loss. Initial surgical stabilization was allowed only if the patient was in a clinically excellent condition.1 Some authors even recommended delaying surgery until 10–14 days after the injury.2


Acute Respiratory Distress Syndrome Hemorrhagic Shock Intramedullary Nailing Adult Respiratory Distress Syndrome Femoral Shaft Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2000

Authors and Affiliations

  • Hans-Christoph Pape
  • Harald Tscherne

There are no affiliations available

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