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Review
. 2021 Feb 23;4(1):e116.
doi: 10.1097/OI9.0000000000000116. eCollection 2021 Mar.

Polytrauma: update on basic science and clinical evidence

Aaron Nauth  1 , Frank Hildebrand  2 , Heather Vallier  3 , Timothy Moore  3 , Luke Leenen  4 , Todd Mckinley  5 , Hans-Christoph Pape  6
Affiliations
Review

Polytrauma: update on basic science and clinical evidence

Aaron Nauth et al. OTA Int. .

Abstract

The management of multiply injured or severely injured patients is a complex and dynamic process. Timely and safe fracture fixation is a critical component of the multidisciplinary care that these patients require. Effective management of these patients, and their orthopaedic injuries, requires a strong understanding of the pathophysiology of the response to trauma and indicators of patient status, as well as an appreciation for the dynamic nature of these parameters. Substantial progress in both clinical and basic science research in this area has advanced our understanding of these concepts and our approach to management of the polytraumatized patient. This article summarizes a symposium on this topic that was presented by an international panel of experts at the 2020 Virtual Annual Meeting of the Orthopaedic Trauma Association.

Keywords: damage control surgery; early appropriate care; inflammation; neutrophil; polytrauma.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Causes to develop a new, modified reamer irrigator aspirator version (RIA2).
Figure 2
Figure 2
The new features of >RIA2 are depicted in Figure 2. They include a new auger to improve backflow despite a smaller irrigation tube, improved coupling, and a new seal (in yellow), a quick connect for the harvesting tube and, most importantly, exchange options for the reamer head intraoperatively between 10 and 18 mm).
See this image and copyright information in PMC

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