Advances and future directions for management of trauma patients with musculoskeletal injuries


Autoria(s): Balogh, Zsolt J; Reumann, Marie K; Gruen, Russell L; Mayer-Kuckuk, Philipp; Schuetz, Michael A; Harris, Ian A; Gabbe, Belinda J; Bhandari, Mohit
Data(s)

22/09/2012

Resumo

Musculoskeletal injuries are the most common reason for operative procedures in severely injured patients and are major determinants of functional outcomes. In this paper, we summarise advances and future directions for management of multiply injured patients with major musculoskeletal trauma. Improved understanding of fracture healing has created new possibilities for management of particularly challenging problems, such as delayed union and non union of fractures and large bone defects. Optimum timing of major orthopaedic interventions is guided by increased knowledge about the immune response after injury. Individual treatment should be guided by trading off the benefits of early definitive skeletal stabilisation, and the potentially life-threatening risks of systemic complications such as fat embolism, acute lung injury, and multiple organ failure. New methods for measurement of fracture healing and function and quality of life outcomes pave the way for landmark trials that will guide the future management of musculoskeletal injuries.

Identificador

http://eprints.qut.edu.au/54589/

Publicador

The Lancet Publishing Group

Relação

DOI:10.1016/S0140-6736(12)60991-X

Balogh, Zsolt J, Reumann, Marie K, Gruen, Russell L, Mayer-Kuckuk, Philipp, Schuetz, Michael A, Harris, Ian A, Gabbe, Belinda J, & Bhandari, Mohit (2012) Advances and future directions for management of trauma patients with musculoskeletal injuries. The Lancet, 380(9847), pp. 1109-1119.

Direitos

Copyright 2012 Elsevier Ltd.

Fonte

School of Chemistry, Physics & Mechanical Engineering; Institute of Health and Biomedical Innovation; Science & Engineering Faculty

Palavras-Chave #110000 MEDICAL AND HEALTH SCIENCES #trauma #musculoskeletal injury #trauma management
Tipo

Journal Article