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Irrigation and debridement of open tibia fracture with traction stabilization of tibia plateau fracture and reamed intramedullary nail fixation of femur fracture
7%
274/4191
Irrigation and debridement with open reduction internal fixation of tibial plateau fracture and intramedullary nail fixation of femur fracture
1%
22/4191
Irrigation and debridement with open reduction internal fixation of tibial plateau fracture and plate fixation of femur fracture
0%
12/4191
Irrigation and debridement with external fixation of tibia plateau fracture and reamed intramedullary nail fixation of femur fracture
4%
178/4191
Irrigation and debridement with external fixation of tibia plateau fracture and external fixation of femur fracture
88%
3677/4191
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Radiographs demonstrate a femoral shaft and high-energy tibia plateau fracture. The patient is medically unstable and the best treatment is expeditious debridement of the open fracture and stabilization of the fractures with definitive fixation at a later date. Early stabilization reduces the risk of cardiopulmonary complications including fat embolism syndrome. Roberts et al recommends damage control orthopaedics emphasizing fracture stabilization without definitive surgical treatment in the unstable trauma patient. They note that this treatment method adds little physiological stress to the traumatized patient.Turen et al discusses the importance of early fixation of long bone fractures to mobilize the multiple extremity trauma patient and mitigate cardiopulmonary complications. They note, however, that understanding of the complexities of the multiply injured patient is necessary to avoid intensive surgical treatments that are likely to adversely affect outcome.
4.4
(40)
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