Early versus delayed internal fixation of long bone fractures of the leg in patients with multiple injuries

Evaluation of Criteria for Temporary External Fixation in Risk-Adapted Damage Control Orthopedic Surgery of Femur Shaft Fractures in Multiple Trauma Patients: ???Evidence-Based Medicine??? versus ???Reality??? in the Trauma Registry of the German Trauma Society

“…The results of this study correspond with Dunham et al, 78 who evaluated 37 studies on the optimal timing of long-bone fracture stabilization in polytrauma patients published in the English language between 1980 and 1998 and is in line with the results of a Cochrane review performed by a subgroup of the authors. 79 Conflicting studies examining primary-definitive fracture fixation in patients with concomitant injuries gave rise to concern about these specific subgroups. In patients with coexistent brain injury, some authors report an increase in neurologic disability and mortality, if definitive femur osteosynthesis is performed early.…”