• Curr Opin Crit Care · Dec 2012

    Review

    Damage control orthopedics: current evidence.

    • Philipp Lichte, Philipp Kobbe, Derek Dombroski, and Hans C Pape.
    • Department of Orthopaedic Trauma Surgery, Medical School of the RWTH Aachen University, Aachen, Germany.
    • Curr Opin Crit Care. 2012 Dec 1;18(6):647-50.

    Purpose Of ReviewThere is still an ongoing debate whether damage control orthopedics (DCO) or other treatment strategies should be favored in the treatment of multiply injured patients. This review gives an overview of the current literature concerning this important question in the treatment of severely injured patients.Recent FindingsSeveral studies could show that DCO can reduce the inflammatory burden due to surgery (second hit). The only randomized study showed a benefit for borderline patients treated by DCO in comparison to early total care. Other studies showed advantages for early care treatment in similar patients.SummaryIn severely injured patients, DCO should be considered. On the other hand, there is still a lack of randomized studies for a more precise characterization of the patients who benefit from DCO treatment.

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