The Poly-Traumatized Patient with Fractures A Multi-Disciplinary App
This guide provides practical information for the care of patients with blunt injuries. It covers the care for truncal injuries (head, chest, abdomen) and fracture care of the extremities, the pelvis and the spine in a condensed fashion. Unlike previous,
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Hans-Christoph Pape • Roy Sanders Joseph Borrelli Jr. (Editors)
The Poly-Traumatized Patient with Fractures A Multi-Disciplinary Approach
Editors Prof. Hans-Christoph Pape Universitätsklinikum Aachen Klinik für Unfallchirurgie Pauwelsstraße 30 52057 Aachen Germany [email protected]
Dr. Joseph Borrelli Jr. University of Texas Southwestern Medical Center at Dallas 5323 Harry Hines Boulevard Dallas, TX 75390 USA [email protected]
Dr. Roy Sanders Florida Orthopaedic Institute 13020 N. Telecom Parkway Temple Terrace, FL 33637 USA [email protected]
ISBN 978-3-642-17985-3 e-ISBN 978-3-642-17986-0 DOI 10.1007/978-3-642-17986-0 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2011921943 © Springer-Verlag Berlin Heidelberg 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
Standard fracture texts, primarily aimed at surgeons who deal with both simple and complex fractures, have dealt with the anatomy, pathology, diagnostics, and occasionally with the complications of musculoskeletal injury, and primarily with the techniques of fracture repair. Clinical decision making in the management of the multiply injured patient, in the light of pregnancy, extremes of age, physiology, and the extremes of associated soft tissue injury, missing bone, and the anticipation and mitigation of associated complications is the true challenge in the treatment of musculoskeletal injury. These “associated” elements of the clinical decision making process are the most difficult to teach, the most dependent on clinical experience, and have rarely been centralized and addressed in a single source. In this comprehensive text, experts in the fields of various systems pathology, inflammatory and immune response, pediatrics, and gerontology address these issues as they effect the ultimate management of musculoskeletal inju
