Abstract
The multiply injured patient with concurrent skeletal fracture presents an intricate problem for the orthopedic traumatologist because of the challenges of fracture treatment coupled with the interaction of multiple tenuous organ systems. In focusing the attention towards the musculoskeletal injury, the orthopedic traumatologist must first recognize the key factors comprising the damage to the local musculoskeletal environment that may potentiate systemic organ failure in a critically ill patient. However more difficult decisions need to be rendered initially to prevent musculoskeletal complications such as malunion and nonunion that manifest later in the subacute phase of trauma, which may have a less clear benefit acutely to the systemic health of the patient.
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Greco, N., Siska, P., Tarkin, I.S. (2016). Management of Malunions and Nonunions in Patients with Multiple Injuries. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47212-5_27
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