Medicinski pregled
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Polytrauma remains a major social, economic and medicine affliction. A successful surgical treatment of polytrauma patients requires an approach predicated on prioritizing injuries. An isolated femur fractures rarely poses any threat but in association with multiple injuries, this fracture assumes greater significance. The proper management of femur fractures in polytrauma can greatly reduce the mortality and morbidity. ⋯ The external fixation by the use of Mitkovic external fixator in the treatment of femur fractures is a safe procedure to achieve temporary rigid stabilisation in polytrauma patients before the subsequent internal fixation (damage control orthopaedics). The external fixation using Mitkovic external fixator can be definitive method of choice in treatment of open and comminutive femur fractures in polytrauma patients until union.
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The medicine had been practiced in ancient Egypt since the earliest, prehistoric days, many millenia before Christ, and was quite developed in later periods. This is evident from the sceletal findings, surgical instruments found in tombs, wall printings, the reliefs and inscriptions, and most of all, from the sparse written material known as medical papyri. However, there were not many physicians from that time whose names had been recorded. The earliest physician in ancient Egypt known by name was Imhotep. WHO WAS IMHOTEP?: Imhotep lived and worked during the time of the 3rd Dynasty of Old Kingdom and served under the pharaoh Djoser (reigned 2667-2648 BC) as his vizier or chief minister, high priest, chief builder and carpenter. He obviously was an Egyptian polymath, a learned man and scribe and was credited with many inventions. ⋯ Imhotep was a real historic person from the period of the 3rd Dynasty of Old Kingdom (2686-2637 BC) and he served under the pharaoh Djoser as his vizier and high priest. Obviously, he was a very capable and many-sided man who is believed to be the designer and builder of the so-called Step Pyramid of Djoser at Saqqarah and of several other buildings. Apart from that he was believed by his people to be the "inventor of healing" and is considered to be the practicing physician at his time and the author of the famous Smith papirus. As such he is considered to be the first physician known by name in written history of the world. He was one of only two mortals ever to be accorded divining status after death.