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Ortopaedkirurgiske aspekter ved damage control-kirurgi
Engelsk titel: Orthopedic surgical aspects of damage control surgery Läs online Författare: Schultz Larsen, Morten Språk: Dan Antal referenser: 12 Dokumenttyp: Artikel UI-nummer: 11051235

Tidskrift

Ugeskrift for Laeger 2011;173(18)1273-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Damage control orthopedics (DCO) is a concept for treatment of fractures in severely injured patients. The fractures are stabilized with external fixators instead of primary definitive osteosynthesis, known as early total care (ETC). The purpose of DCO is to minimize time of surgery and bleeding and thereby minimize the "second hit". Not all patients require DCO, patients with stable vital functions can safely be treated with primary definitive osteosynthesis, DCO is, however, a safe method that can be used, when shorter time of surgery is desirable or a systemic immune response is imminent.