FEMORAL FRACTURE IN POLITRAUMA PATIENT - AVOIDING THE "SECOND HIT" - CASE PRESENTATION

Paul NICULESCU, Nicolae CIUREA, Victor NICULESCU, Alina GROSU, Alexandru DIMITRIU

doi:10.38173/RST.2020.S1.1:9-14

FEMORAL FRACTURE IN POLITRAUMA PATIENT - AVOIDING THE "SECOND HIT" - CASE PRESENTATION

PA

Paul NICULESCU¹

NI

Nicolae CIUREA²

VI

Victor NICULESCU³

AL

Alina GROSU⁴

AL

Alexandru DIMITRIU⁵

¹ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

² Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

³ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

⁴ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

⁵ "Carol Davila" University of Medicine and Pharmacy Bucharest, Romania; Clinical Emergency Hospital; Orthopaedics and Trauma Clinic.

DOI https://doi.org/10.38173/RST.2020.S1.1:9-14

Received 06 February 2020

Revised -

Accepted 22 March 2020

Available Online 02 June 2020

Abstract

TREATMENT OF FEMORAL FRACT URES IN POLYTRAUMA PATIENTS CAN BE VERY CHALLENGING FOR SPECIALIST S ALL AROUND THE WORLD, DUE TO THE LARGE NUMBER OF POSSIBLE STABILIZATION TECHNIQUES AND IMPLANTS THAT ARE AVAILABLE. HOWEVER, IN THIS CASE, WE NEED TO SEE THE BIG PICTURE AND TO ACKNOWLEDGE THE FACT THAT THE PATIENT IS IN A VERY PRECARIOUS CONDITION AND HI S SENSIBLE EQUILIBRIUM CAN BE BROKEN BY SURGERY. IN THIS CASE WE NEED TO REMOVE THE RISK OF THE SECOND HIT PHENOMENON AND TO APPLY THE DAMAGE CONTROL PROTOCOL IN ORDER TO LIMIT MORBIDITY A ND MORTALITY.

Keywords

FEMORAL FRACTURE POLYTRAUMA DAMAGE CONTROL SECOND HIT

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