'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not exist
2008

Damage Control Orthopaedics in Delayed Referral Cases

Sample size: 51 publication Evidence: moderate

Author Information

Author(s): Dhar Shabir Ahmed, Bhat Masood Iqbal, Mustafa Ajaz, Mir Mohammed Ramzan, Butt Mohammed Farooq, Halwai Manzoor Ahmed, Tabish Amin, Ali Murtaza Asif, Hamid Arshiya

Primary Institution: Government Medical College, Srinagar, Jammu and Kashmir, India

Hypothesis

Can damage control orthopaedics effectively manage polytrauma cases with delayed referral in the absence of composite trauma centers?

Conclusion

Damage control orthopaedics is an acceptable treatment method for polytrauma cases with delayed referral where composite trauma centers do not exist.

Supporting Evidence

  • Out of 62 fractures, 59 had united after one year.
  • There were 20 excellent, 29 good, 5 fair, and 5 poor results based on radiological and functional scoring.
  • No mortality was reported despite delayed referrals.

Takeaway

This study shows that even when patients are treated late after injuries, a special method called damage control orthopaedics can help them heal well.

Methodology

Retrospective analysis of 51 polytrauma cases referred after 24 hours post-injury, focusing on those with injury severity scores above 18.

Limitations

The study lacks a comparative analysis with other treatment methods in similar circumstances.

Participant Demographics

Average age of participants was 29.68 years, with a male to female ratio of 29:22.

Digital Object Identifier (DOI)

10.1186/1752-2897-2-2

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