Juárez RCS, Makdissy SGJ, Procell VC, Cárdenas TMB, Marcial BLD

Language: Spanish
References: 16
Page: 162-166
PDF size: 42.27 Kb.

ABSTRACT

Objective. Present trial was carried out in order to investigate the influence of early fracture fixation in the outcome of polytraumatized patients as stressed by their complications. Material and methods. The records of 46 patients aged in average 28.6 years, who were admitted from January 1995 through March 1999 were reviewed for a transverse trial. Patients were assessed according to the seventy of injuries according to the Injury Severity Score (ISS) and to the elapsed time from injury to the moment of the fixation surgery, for comparing the frequency of complications between patients who were operated on before or after the first 24 hours. Results. Complications were present in 6.3% out of 14 cases operated on before 24 hours, while they appeared in 42% of those operated on after 24 hours, regardless their ISS. Conclusion. A significant lower rate of complications such as fat embolism ARDS, sepsis, pneumonia, intravascular coagulation syndrome and acute renal failure was obtained in polytrauma patients when their fractures were fixed within the first 24 hours after trauma.

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