Polytrauma: update on basic science and clinical evidence

OTA International The Open Access Journal of Orthopaedic Trauma, vol. 4, pp. e116

Abstract

The management of multiply injured or severely injured patients is a complex and dynamic process. Timely and safe fracture fixation is a critical component of the multidisciplinary care that these patients require. Effective management of these patients, and their orthopaedic injuries, requires a strong understanding of the pathophysiology of the response to trauma and indicators of patient status, as well as an appreciation for the dynamic nature of these parameters. Substantial progress in both clinical and basic science research in this area has advanced our understanding of these concepts and our approach to management of the polytraumatized patient. This article summarizes a symposium on this topic that was presented by an international panel of experts at the 2020 Virtual Annual Meeting of the Orthopaedic Trauma Association.

Authors 7

1. Aaron Nauth corresponding

   St. Michael's Hospital · University of Toronto

   Affiliation as printed

   Division of Orthopaedics, Department of Surgery, University of Toronto and St. Michael's Hospital, Toronto, Ontario, Canada

   Division of Orthopaedics, Department of Surgery, University of Toronto and St. Michael's Hospital, Toronto, Ontario, Canada,

2. Frank Hildebrand Aachen Department of Trauma and Reconstructive Surgery

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen. Aachen, Germany

   Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen. Aachen, Germany,

3. Heather A. Vallier

   MetroHealth · Case Western Reserve University

   Affiliation as printed

   Case Western Reserve University, The MetroHealth System, Cleveland, OH

   Case Western Reserve University, The MetroHealth System, Cleveland, OH,

4. Timothy A. Moore

   MetroHealth · Case Western Reserve University

   Affiliation as printed

   Case Western Reserve University, The MetroHealth System, Cleveland, OH

   Case Western Reserve University, The MetroHealth System, Cleveland, OH,

5. Luke P. H. Leenen

   University Medical Center Utrecht

   Affiliation as printed

   Department of Trauma, UMC Utrecht, Utrecht, The Netherlands

   Department of Trauma, UMC Utrecht, Utrecht, The Netherlands,

6. Todd O. McKinley

   Indiana University School of Medicine

   Affiliation as printed

   Indiana University School of Medicine, Indianapolis, IN

   Indiana University School of Medicine, Indianapolis, IN,

7. Hans‐Christoph Pape

   University of Zurich · University Hospital Zurich

   Affiliation as printed

   Department of Trauma, University Hospital Zurich, University of Zurich, Zurich, Switzerland