ArticleWorld journal of orthopedics2019
Damage control orthopaedics: State of the art.
Article in World journal of orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 61 citations in OpenAlex.
- Ultrasound-guided radial nerve mapping during external fixation for elbow trauma: a case series of 13 patients.Journal of medical ultrasonics (2001) · 2026Article
- Caught in the Crossroads: Damage Control Orthopedics versus Early Total Care for Polytrauma in the Indian Scenario.Annals of African medicine · 2026Review
- Severe trauma care: advances and future directions in diagnostic and therapeutic techniques and information technology support.Medical review (2021) · 2026Article
- Combined hip procedure (CHP) involving open reduction and internal fixation and acute total hip arthroplasty (THA) for elderly acetabular fractures: a comparative analysis to THA for femoral neck fractures and hip osteoarthritis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Ballistic limb trauma: lessons from a decade of french civilian and military experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Advances and uncertainties in fat embolism syndrome: a review.Trauma surgery & acute care open · 2026Review
- Operative time, postoperative pain, and functional recovery in MIPO versus ORIF for humeral shaft fractures: a retrospective cohort case series.Annals of medicine and surgery (2012) · 2026Article
- Early Prediction of Acute Respiratory Distress Syndrome in Critically Ill Polytrauma Patients Using Balanced Random Forest ML: A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Predicting multiple organ failure after major orthopedic interventions is possible using only conventional laboratory tests.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Advances in Managing Pelvic Fractures in Polytrauma: A Comprehensive Review.Journal of clinical medicine · 2025Review
- External Fixators as a Tool for Damage Control Orthopedics in Severely Injured or Polytrauma Patients.Cureus · 2024Article
- A case of damage control after polytrauma and bilateral femur fracture.Trauma case reports · 2024Article
- Immediate management of a stable patient with unstable pelvis.EFORT open reviews · 2024Review
- Multiple Spinal Epidural Abscesses with Concomitant Multifocal Systemic Abscesses and Multi-joint Septic Arthritis:, A Case Report.Journal of orthopaedic case reports · 2024Article
- Quality of life of survivors following road traffic orthopaedic injuries in Rwanda.Frontiers in public health · 2024Article
- Early total care or damage control orthopaedics for major fractures ? Results of propensity score matching for early definitive versus early temporary fixation based on data from the trauma registry of the German Trauma Society (TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Prospective study examining the probability of cerebral fat embolism based on magnetic resonance imaging.Heliyon · 2023Article
- Risks in the Management of Polytrauma Patients: Clinical Insights.Orthopedic research and reviews · 2023Review
- Hip fractures in the young polytrauma patient: a review and the latest data from the UK.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Review
- Incidence of Fat Embolism Syndrome in Femur Fractures and Its Associated Risk Factors over Time-A Systematic Review.Journal of clinical medicine · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Damage control orthopaedics (DCO) originally consisted of the provisional immobilisation of long bone - mainly femur - fractures in order to achieve the advantages of early treatment and to minimise the risk of complications, such as major pain, fat embolism, clotting, pathological inflammatory response, severe haemorrhage triggering the lethal triad, and the traumatic effects of major surgery on a patient who is already traumatised (the "second hit" effect). In recent years, new locations have been added to the DCO concept, such as injuries to the pelvis, spine and upper limbs. Nonetheless, this concept has not yet been validated in well-designed prospective studies, and much controversy remains. Indeed, some researchers believe the indiscriminate application of DCO might be harmful and produce substantial and unnecessary expense. In this respect, too, normalised parameters associated with the acid-base system have been proposed, under a concept termed early appropriate care, in the view that this would enable patients to receive major surgical procedures in an approach offering the advantages of early total care together with the apparent safety of DCO. This paper discusses the diagnosis and treatment of severely traumatised patients managed in accordance with DCO and highlights the possible drawbacks of this treatment principle.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.