Evidence map›Paper›PMID 32458046›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Indications and interventions of damage control orthopedic surgeries: an expert opinion survey.

Roman Pfeifer, Yannik Kalbas, Raul Coimbra, Luke Leenen, Radko Komadina, Frank Hildebrand, Sascha Halvachizadeh, Meraj Akhtar, Ruben Peralta, Luka Fattori and 10 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Developments in the understanding of staging a "major fracture" in polytrauma: results from an initiative by the polytrauma section of ESTES.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  2. Percutaneous screw fixation of pubic symphysis diastasis.Operative Orthopadie und Traumatologie · 2026
    Review
  3. Trauma Surgeons' Impactful Last Half Century.World journal of surgery · 2026
    Review
  4. Review
  5. Article
  6. High rate of complications after operative fixation of open periprosthetic distal femur fractures.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  7. Clinical and healthcare research.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Standards of fracture care in polytrauma: results of a Europe-wide survey by the ESTES polytrauma section.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  12. Occult hypoperfusion and changes of systemic lipid levels after severe trauma: an analysis in a standardized porcine polytrauma model.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Roman PfeiferDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland. Roman.Pfeifer@usz.ch.
Yannik KalbasDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Raul CoimbraRiverside University Health System and Loma Linda University, Riverside, CA, USA.
Luke LeenenDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Radko KomadinaDepartment of Traumatology, General and Teaching Hospital Celje, Medical Faculty Ljubljana University, 3000, Celje, Slovenia.
Frank HildebrandDepartment of Trauma, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
Sascha HalvachizadehDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Meraj AkhtarDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Ruben PeraltaSurgical Department (Hamad General Hospital), Hamad Medical Corporation, HMC, Doha, Qatar.
Luka FattoriDepartment of Surgery, San Gerardo Hospital, University of Milan Bicocca, G.B. Pergolesi 33, Monza, Italy.
Diego MarianiDepartment of Emergency General Surgery, Legnano Hospital, ASST Ovest Milanese, Legnano, MI, Italy.
Rebecca Maria HaslerDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Rolf LeferingIFOM, Institute for Research in Operative Medicine, Faculty of Health, University Witten/Herdecke, Ostmerheimer Straße 200, 51109, Cologne, Germany.
Ingo MarziDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Goethe-University, Frankfurt, Germany.
François PitanceAnesthesiology and Intensive Care Unit, CHR De La Citadelle, Liege, Belgium.
Georg OsterhoffDepartment of Orthopaedics, Trauma, and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.
Gershon VolpinDepartment of Orthopedic Surgery, EMMS Hospital, Nazareth, Affiliated to Galilee Medical Faculty Zfat, Bar Ilan University, Ramat Gan, Israel.
Yoram WeilOrthopaedic Trauma Unit, Hadassah Hebrew University Hospital, Jerusalem, Israel.
Klaus WendtDepartment of Trauma Surgery, University Medical Center Groningen (UMCG), Hanzeplein 1, 9700 RB, Groningen, The Netherlands.
Hans-Christoph PapeDepartment of Trauma, University of Zurich, UniversitätsSpital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of this study were to gather an expert opinion survey and to evaluate the suitability of summarized indications and interventions for DCO.

backgroundThe indications to perform temporary surgery in musculoskeletal injuries may vary during the hospitalization and have not been defined. We performed a literature review and an expert opinion survey about the indications for damage control orthopaedics (DCO).

methodsPart I: A literature review was performed on the basis of the PubMed library search. Publications were screened for damage control interventions in the following anatomic regions: "Spine", "Pelvis", "Extremities" and "Soft Tissues". A standardized questionnaire was developed including a list of damage control interventions and associated indications. Part II: Development of the expert opinion survey: experienced trauma and orthopaedic surgeons participated in the consensus process.

resultsPart I: A total of 646 references were obtained on the basis of the MeSH terms search. 74 manuscripts were included. Part II: Twelve experts in the field of polytrauma management met at three consensus meetings. We identified 12 interventions and 79 indications for DCO. In spinal trauma, percutaneous interventions were determined beneficial. Traction was considered harmful. For isolated injuries, a new terminology should be used: "MusculoSkeletal Temporary Surgery".

conclusionThis review demonstrates a detailed description of the management consensus for abbreviated musculoskeletal surgeries. It was consented that early fixation is crucial for all major fractures, and certain indications for DCO were dropped. Authors propose a distinct terminology to separate local (MuST surgery) versus systemic (polytrauma: DCO) scenarios.

Indexed as

Fractures, BoneMultiple TraumaOrthopedic ProceduresHumansSurveys and QuestionnairesDamage control surgeryExtremityIndicationInterventionMuST surgeryPolytraumaSoft tissues

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.