The Spectrum of Polytrauma. A Pragmatic Approach for the Musculo-Skeletal Surgeon

  • Pierre Hoffmeyer
  • Robin Peter
Part of the European Instructional Lectures book series (EICL, volume 12)


Polytrauma is one of the leading causes of death and disability in the young and, more recently, also in the elderly. Although much progress in prevention has occurred over the years, especially with regard to road traffic safety, polytrauma remains a devastating occurrence that permanently affects the lives of many victims. A better evaluation of the patients, recognizing their individual needs, has improved the care and the outcome of polytrauma victims. Accurate clinical evaluation along with appropriate laboratory testing and state-of-the-art imaging has significantly advanced the understanding of the patient’s condition. Management strategies have become more flexible and tailored to the injured person’s needs. There is a clear consensus that pelvic, articular and long bone fractures must be fixed. The condition of the patient and more specifically of the pelvis (stable or unstable) will orient the resuscitation and surgical teams towards either an Early Total Care approach or a Damage Control plan.


Injury Severity Score Pelvic Fracture Pelvic Ring Articular Fracture Definitive Fixation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© EFORT 2012

Authors and Affiliations

  1. 1.Division of Orthopaedics and Traumatology, Department of Surgery, Geneva University Hospitals, Faculty of MedicineUniversity of GenevaGenevaSwitzerland
  2. 2.Division of Orthopaedics and Traumatology, Geneva University Hospitals, Faculty of MedicineUniversity of GenevaGenevaSwitzerland

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