Fracture fixation in the polytrauma patient: Markers that matter.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest None. 12. OTA Int. 2021 Feb 23;4(1):e116. doi: 10.1097/OI9.0000000000000116. eCollection 2021 Mar. Polytrauma: update on basic science and clinical evidence. Nauth A(1), Hildebrand F(2), Vallier H(3), Moore T(3), Leenen L(4), Mckinley T(5), Pape HC(6). Author information: (1)Division of Orthopaedics, Department of Surgery, University of Toronto and St. Michael's Hospital, Toronto, Ontario, Canada. (2)Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen. Aachen, Germany. (3)Case Western Reserve University, The MetroHealth System, Cleveland, OH. (4)Department of Trauma, UMC Utrecht, Utrecht, The Netherlands. (5)Indiana University School of Medicine, Indianapolis, IN. (6)Department of Trauma, University Hospital Zurich, University of Zurich, Zurich, Switzerland. The management of multiply injured or severely injured patients is a complex and dynamic process. Timely and safe fracture fixation is a critical component of the multidisciplinary care that these patients require. Effective management of these patients, and their orthopaedic injuries, requires a strong understanding of the pathophysiology of the response to trauma and indicators of patient status, as well as an appreciation for the dynamic nature of these parameters. Substantial progress in both clinical and basic science research in this area has advanced our understanding of these concepts and our approach to management of the polytraumatized patient. This article summarizes a symposium on this topic that was presented by an international panel of experts at the 2020 Virtual Annual Meeting of the Orthopaedic Trauma Association. Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association. DOI: 10.1097/OI9.0000000000000116 PMCID: PMC8016602