Abstract
Polytrauma patient management includes prompt identification and treatment of fractures and dislocations to stabilize the extremity or joint and reduce further damage to surrounding tissue and structures. Standard treatment includes reduction techniques (both open and closed) with procedures for temporary stabilization until definitive operative fixation can occur. The goal of this chapter is to introduce skeletal traction and external fixation as two methods to achieve closed reduction of fractures and dislocations in the unstable trauma patient. The basic principles and techniques of each will be discussed, as well as considerations, contraindications, and complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Koval KJ, Zuckerman JD. Handbook of fractures. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
Wheeless CR. Wheeless’ textbook of orthopaedics: femoral and tibial traction pins. [Date of last update 18 Sept 2014]. http://www.wheelessonline.com/ortho/femoral_and_tibial_traction_pins.
Demmer P. AO handbook—nonoperative fracture treatment. Femoral shaft fractures—management with minimal resources. 2013. www.aosurgery.org.
Hessman M, Nork S, Sommer C, Twaddle B. AO surgery reference: traction (initial provisional stabilization). https://www2.aofoundation.org/wps/portal/surgery?showPage=redfix&bone=Tibia&segment=Distal&classification=43-C1&treatment=&method=Traction%20-%20(initial%20provisional%20stabilization)&implantstype=&approach=&redfix_url=1285238987367&Language=en. Accessed 3 Dec 2008.
Dandy DJ, Edwards DJ. Methods of managing trauma. In: Essential orthopaedics and trauma. 4th ed. Philadelphia: Elsevier Science; 2003.
Florian G, Kregor P, Oliver C. AO surgery reference: temporary skeletal traction. https://www2.aofoundation.org/wps/portal/surgery?showPage=redfix&bone=Femur&segment=Distal&classification=33-C1&treatment=&method=Provisional%20treatment&implantstype=Temporary%20skeletal%20traction&approach=&redfix_url=1285238416489&Language=en. Accessed 3 Dec 2008.
Pape H-C, Tornetta P, Tarkin I, Tzioupis C, Sabeson V, Olson SA. Timing of fracture fixation in multitrauma patients: the role of early total care and damage control surgery. J Am Acad Orthop Surg. 2009;17(9):541–9.
Buccholz RW, Heckman JD, Court-Brown C, Koval KJ, Tornetta P, Wirth MA, editors. Rockwood and Green’s fractures in adults. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 257–95; 567–70.
Moss DP, Tejwani N. Biomechanics of external fixation: a review of literature. Bull NYU Hosp Jt Dis. 2007;65(4):294–9.
Burgess AR, Poka A, Browner BD, First KR. Skeletal trauma: fractures, dislocations, ligamentous injuries. In: Principles of external fixation, vol. 1. Philadelphia: W.B. Saunders Company; 1992.
Green SA. Browner: skeletal trauma. In: Principles and complications of external fixation. 4th ed. Philadelphia: W.B. Saunders Company; 2008.
Perry CR, Elstrom JA. Handbook of fractures. 2nd ed. In: McGraw-Hill; 2000.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Cullipher, C.A., Halvorson, J. (2021). Advanced Fracture Management Principles of Procedures for Stabilization. In: Taylor, D.A., Sherry, S.P., Sing, R.F. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-64661-5_39
Download citation
DOI: https://doi.org/10.1007/978-3-030-64661-5_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-64660-8
Online ISBN: 978-3-030-64661-5
eBook Packages: MedicineMedicine (R0)