Management of Orthopaedic Injuries in Multiply Injured Child.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 30237602.
- Also identified by DOI 10.4103/ortho.IJOrtho_359_17 and PMC identifier 6142788.
- Licence recorded as CC BY-NC-SA.
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Abstract
Multiply injured child is a unique challenge to the medical communities worldwide. It is a leading cause of preventable mortality and morbidity in children. Common skeletal injuries include closed or open fractures of tibia and femur and pelvic injuries. Initial management focuses on saving life and then saving limb as per pediatric advanced life support and advanced trauma life support. Orthopedic management of open fracture includes splinting the limb, administration of prophylactic antibiotic, and surgical debridement of the wound when safe. However, gross contamination, compartment syndrome, and vascular injuries demand urgent attention.