• Shabir Ahmed Dhar, Masood Iqbal Bhat, Ajaz Mustafa, Mohammed Ramzan Mir, Mohammed Farooq Butt, Manzoor Ahmed Halwai, Amin Tabish, Murtaza Asif Ali, and Arshiya Hamid.
• Department of Orthopaedics, Government Medical College, Srinagar, Jammu and Kashmir, India. shabirdhar@yahoo.co.in.
• J Trauma Manag Outcomes. 2008 Jan 1;2:2.

BackgroundManagement of orthopaedic injuries in polytrauma cases continues to challenge the orthopaedic traumatologist. Mass disasters compound this challenge further due to delayed referral. Recently there has been increasing evidence showing that damage control surgery has advantages that are absent in the early total care modality. We studied the damage control modality in the management of polytrauma cases with orthopaedic injuries who had been referred to our hospital after more than 24 hours of sustaining their injuries in an earthquake. This study was conducted on 51 cases after reviewing their records and complete management one year after the trauma.ResultsAt one year, out of the 62 fractures, 3 were still under treatment, while the others had united. As per the radiological and functional scoring there were 20 excellent, 29 good, 5 fair and 5 poor results. In spite of the delayed referral there was no mortality.ConclusionIn situations of delayed referral in areas where composite trauma centers do not exist the damage control modality provides an acceptable method of treatment in the management of polytrauma cases.

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