Damage Control Orthopedics
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Purpose of Review
This review focuses on the concept of damage control orthopedics (DCO), the staged procedure to prevent the multiple injury patients from additional unnecessary trauma by postponable extensive surgery.
The principles of damage control orthopedics are staged procedures and, in the first surgical step, the main principles are to stop the bleeding, to restore perfusion with a limited surgical burden, and to stop the contamination. Criteria for damage control orthopedics correspond those for damage control surgery in general, including hypothermia, evidence for persistent minor perfusion, and coagulation disorders.
Skeletal injuries are very common in multiple injury patients. However, most of these injuries have to be treated surgically, which may be time-consuming, cause further blood loss, increase hypothermia, and also results in an inflammatory response due to the surgical trauma. The concept of damage control orthopedics (DCO) is a staged procedure to prevent the multiple injury patients from additional unnecessary trauma by postponable extensive surgery. The article gives an overview about this concept including the indications and the available evidence.
KeywordsSkeletal injury Orthopedic trauma Damage control Damage control surgery
Compliance with Ethical Standards
Conflict of Interest
The authors declare no conflicts of interest relevant to this manuscript.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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