| Literature DB >> 20101135 |
Michael A Flierl1, Jason W Stoneback, Kathryn M Beauchamp, David J Hak, Steven J Morgan, Wade R Smith, Philip F Stahel.
Abstract
The ideal timing and modality of femur shaft fracture fixation in head-injured patients remains a topic of debate. Several groups advocate the immediate definitive fixation of femur fractures ("early total care"), whereas others support the concept of "damage control orthopaedics" with temporary fracture fixation by means of external fixation and staged, planned conversion to internal fixation. The present review was designed to address this unresolved controversy by outlining the underlying immunopathophysiology of traumatic brain injury and providing clinical recommendations on the timing of femur shaft fracture fixation in patients with severe head injuries.Entities:
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Year: 2010 PMID: 20101135 DOI: 10.1097/BOT.0b013e3181b6bdfc
Source DB: PubMed Journal: J Orthop Trauma ISSN: 0890-5339 Impact factor: 2.512