Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (26): 4874-4877.doi: 10.3969/j.issn.1673-8225.2010.26.031

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Application of external fixator to damage control treatment in rehabilitation of orthopedic trauma 

Lu Hai-jiang, Zhen Wan-xin   

  1. Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen  518020, Guangdong Province, China
  • Online:2010-06-25 Published:2010-06-25
  • Contact: Zhen Wan-xin, Doctor, Professor, Chief physician, Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, Guangdong Province, China wx100100@yahoo. com.cn
  • About author:Lu Hai-jiang, Studying for master's degree, Department of Spinal Surgery, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, Guangdong Province, China luhaijiang78@ 126.com

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Abstract:

BACKGROUND: Serious patients with severe multiple fractures or comminuted fractures with multiple trauma cannot bear complex and extensive operation. For these patients, application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma has been gradually performed in clinical practice.

OBJECTIVE: To summarize necessities, indications, procedures, merits and effects of using external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma by reviewing and analyzing lots of literatures.

METHODS: A computer-based online research of PubMed (1990/2009-12) and CNKI (1995/2009-12) was performed with key words of “damage control, external fixator, fracture, trauma, rehabilitation”. The literature was limited to English and Chinese languages. Literatures concerning application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma were included, including reviews and clinical experiments. Animal experiments, duplicated study and contents inconsistent with the research purpose were excluded.

RESULTS AND CONCLUSION: A total of 289 articles were initially searched by computer, according to inclusive and exclusive criteria, 130 unrelated articles were excluded, and those published in the last 10 years were selected from the remainder 159 articles. Finally 25 literatures were included. Based on literature review, the reasonable application of external fixator to damage control surgery treatment in rehabilitation of orthopedic trauma improves the survival rate of serious patients with severe multiple fractures or comminuted fractures with multiple trauma, and proves to be clinically effective and secure.

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