Key result
Damage control orthopaedics offers an appropriate strategy for polytraumatized patients lacking physiological reserve.
The principles of damage control surgery can be applied to orthopaedic injuries.
May guide initial stabilization in unstable polytrauma; leaves open need for prospective trials to define optimal timing.
The principles of ‘damage control surgery’, first described by Rotondo et al (1993) in relation to severe penetrating abdominal injury, can also be applied to patients with orthopaedic injuries. The basic principles are the same:
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Stephen Mannion (2005) conducted a review in Polytrauma with orthopaedic injuries. Damage control orthopaedics was evaluated. Damage control orthopaedics, including external fixation and early debridement, is an appropriate strategy for polytraumatized patients who lack the physiological reserve for early definitive care.
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