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Review Article from Symposium
Damage Control and Provisional Fixation
Hyoung Keun Oh, M.D
Journal of the Korean Fracture Society 2010;23(3):346-352.
DOI: https://doi.org/10.12671/jkfs.2010.23.3.346
Published online: July 31, 2010

Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Goyang, Korea.

Address reprint requests to: Hyoung Keun Oh, M.D. Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, 2240, Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, osd11@paik.ac.kr

Copyright © 2010 The Korean Fracture Society

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Figure 1
(A) 49 years old female was sustained right femoral shaft fracture with trucal injury.
(B) Provisional fixation using external fixation was performed until patient's condition was optimized.
(C) Conversion to internal fixation using plate was performed and solid union was obtained.
jkfs-23-346-g001.jpg
Figure 2
(A) 43 years old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and emboilzation was performed as primary treatmentfor hemorrhage control (arrow).
(B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, conversion to internal fixation was performed.
jkfs-23-346-g002.jpg
Table 1
Parameters to consider when deciding to implement damage control orthopedic protocol26)
jkfs-23-346-i001.jpg
Table 2
End points for damage control resuscitation33)
jkfs-23-346-i002.jpg

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      J Korean Fract Soc. 2010;23(3):346-352.   Published online July 31, 2010
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    Damage Control and Provisional Fixation
    Image Image
    Figure 1 (A) 49 years old female was sustained right femoral shaft fracture with trucal injury. (B) Provisional fixation using external fixation was performed until patient's condition was optimized. (C) Conversion to internal fixation using plate was performed and solid union was obtained.
    Figure 2 (A) 43 years old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and emboilzation was performed as primary treatmentfor hemorrhage control (arrow). (B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, conversion to internal fixation was performed.
    Damage Control and Provisional Fixation

    Parameters to consider when deciding to implement damage control orthopedic protocol26)

    End points for damage control resuscitation33)

    Table 1 Parameters to consider when deciding to implement damage control orthopedic protocol26)

    Table 2 End points for damage control resuscitation33)


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