Damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma.

Objective To discuss damage control orthopaedics in 53 cases of severe polytrauma who have mainly sustained orthopaedic trauma. Methods The data of 53 cases of severe polytrauma who had mainly sustained orthopaedic trauma were retro-spectively analyzed. And the methods and timing of dam-age control orthopaedics were discussed in this study. Results We succeeded in rescuing the lives of all the 53 patients, and 38 patients returned to their former work. Conclusions Injury Severity Score (ISS 90 ) should be 17 in severe polytrauma patients, but in severe polytrauma patients who have mainly sustained orthopaedic trauma, the ISS 90 of bone and joint injuries should be 16. We recom-mend that primary minimally-invasive external fracture sta-bilization should be made for extremities and pelvis in these patients to avoid additional surgical trauma and that definitive secondary fracture care should be performed after medi-cal stabilization for these patients in intensive care unit (ICU).