Conclusion

Adequate stabilization of major fractures has become an integrated part of the care of the multiple traumatized patient. Early osteosynthesis leads to a lower rate of pulmonary insufficiency, lower mortality, and earlier mobilization of the patient. In severe pelvic fractures, operative stabilization also contributes to hemostasis. Other essential steps for an optimal functional outcome include adequate fasciotomy, splinting joints to prevent contractures, and early active and/or passive exercises. Salvage or replantation of a severely injured extremity should be considered with great care, as this may substantially lengthen the time in the operating theater and may contribute to later sepsis.

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