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REVIEW ARTICLE
Year : 2015  |  Volume : 5  |  Issue : 3  |  Page : 131-136

Operability in polytrauma


Department of Orthopedics and Trauma Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria

Correspondence Address:
Dr. Kenneth Ezenwa Amaefule
Department of Orthopedics and Trauma Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.167473

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Trauma has been on the increase worldwide with significant morbidity and mortality, especially when it occurs in the form of polytrauma. The management of these patients has witnessed significant changes over the last decade with the better understanding of the pathophysiology of polytrauma and the recognition of the benefits of early fracture stabilization as part of the damage control orthopedics (DCO) surgical resuscitation of these patients. Inspite of these, the operability of the polytraumatized patients occasionally becomes contentious amongst the surgical trauma team. Available evidence, shows that the focus of polytrauma resuscitation in contemporary trauma surgical practice has now shifted to the operating room, to improve outcome in polytrauma management. An electronic search was done in the PubMed and EBSCO databases for relevant published articles on polytrauma. The terms "Polytrauma OR Multiple trauma" AND operability were entered. Only original articles on multiple trauma involving long bone(s) fractures and at least a thoracic injury not requiring intensive care treatment, or head injury with an initial Glasgow coma score ≥ 8 points or both, published in the last 2 decades were reviewed. In addition, the references from some of the retrieved articles were also reviewed to identify suitable articles.


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