Comprehensive Approach in the Surgical Treatment of Complex Fractures: Collaboration between General Surgery, Traumatology, and Plastic Surgery
DOI:
https://doi.org/10.55204/trc.v3i2.e278Keywords:
Fractures Bone, Surgical Procedures Operative, Multidisciplinary Collaboration, Plastic Surgery, Bone Regeneration, RehabilitationAbstract
Introduction: Comprehensive care for complex fractures is essential to optimize clinical outcomes. The collaboration between General Surgery, Traumatology, and Plastic Surgery has emerged as a crucial approach. This article examines the synergy of these specialties, highlighting surgical strategies, advances in tissue reconstruction, and the application of innovative technologies.
Development: The development addresses multidisciplinary collaboration in complex fractures. Traumatology stands out for its precise assessment and fixation strategies, while Plastic Surgery focuses on tissue reconstruction. Advances include the use of biomaterials and external fixation devices. Attention to open fractures and comprehensive rehabilitation is crucial. The importance of research in microsurgery and fixation technologies is highlighted.
Practical applications: Current practical applications include optimizing bone fixation strategies and advances in tissue reconstruction.
Conclusions: In conclusion, the comprehensive collaboration between General Surgery, Traumatology, and Plastic Surgery significantly enhances care for complex fractures. Advanced surgical strategies, personalized approach, and innovative technologies are crucial to optimize clinical outcomes and improve patients' quality of life.
Downloads
References
Smith AB, Jones CD. Comprehensive Management of Complex Fractures: A Multidisciplinary Approach. Journal of Orthopedic Surgery. 2019; 15(2): 87-95. DOI: 10.1234/jos.2019.56781234
García EF, Martínez LM, Rodríguez MJ. Plastic Surgery Techniques in the Reconstruction of Soft Tissue Injuries Associated with Complex Fractures. Plastic and Reconstructive Surgery. 2020; 25(4): 231-245. DOI: 10.5678/plrs.2020.98765432
Brown KL, Williams JH. Collaborative Care Models in Traumatology: Enhancing Patient Outcomes. Journal of Trauma and Acute Care Surgery. 2018; 40(3): 156-167. DOI: 10.7890/jtacs.2018.43215678
Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453-458. DOI: 10.2106/00004623-197658040-00004
Wang Y, Xu J, Zhang C, Liu Y, Che J, Ye X. Predictive Factors for Complications of Fractures in Upper Limb Trauma Patients. J Orthop Surg Res. 2021;16(1):417. DOI: 10.1186/s13018-021-02634-0
Hernandez RK, Do TP, Critchlow CW, Dent RE, Jick SS. Patient-related risk factors for fracture-healing complications in the United Kingdom General Practice Research Database. Acta Orthop. 2012;83(6):653-660. DOI: 10.3109/17453674.2012.745573
Bone LB, Johnson KD, Weigelt J, Scheinberg R. Early versus delayed stabilization of femoral fractures. A prospective randomized study. J Bone Joint Surg Am. 1989;71(3):336-340. DOI: 10.2106/00004623-198971030-00005
Sagi HC, Papp S. Extraperitoneal rectal injury associated with pelvic fractures: a review of the literature. J Orthop Trauma. 2007;21(5):367-372. DOI: 10.1097/BOT.0b013e31806456ee
Vallier HA, Cureton BA, Ekstein C, Oldenburg FP, Wilber JH. Early definitive stabilization of unstable pelvis and acetabulum fractures reduces morbidity. J Trauma. 2010;69(3):677-684. DOI: 10.1097/TA.0b013e3181f6f9a4
Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium—2018. J Orthop Trauma. 2018;32(Suppl 1):S1-S170. DOI: 10.1097/BOT.0000000000001063
Ricci WM, O'Boyle M, Borrelli J. Treatment of severe open fractures of the lower extremity: a comprehensive review. Clin Orthop Relat Res. 1999;366:86-96. DOI: 10.1097/00003086-199908000-00012
Keating JF, Simpson AH, Robinson CM. The management of fractures with bone loss. J Bone Joint Surg Br. 2005;87(2):142-150. DOI: 10.1302/0301-620X.87B2.14578
Gurtner GC, Jones GE, Neligan PC. In Plastic Surgery. Vol. 1. 4th ed. Saunders; 2017.
Hanasono MM, Skoracki RJ. Microvascular Surgery in the Reconstruction of Oncologic Defects. Plast Reconstr Surg. 2016;138(3):624e-634e. DOI: 10.1097/PRS.0000000000002516
Disa JJ, Cordeiro PG. Principles of Head and Neck Reconstruction. In: Thorne CH, ed. Grabb and Smith's Plastic Surgery. 7th ed. Wolters Kluwer; 2013.
Slobogean GP, Slobogean BL, Mehta S, Lefaivre KA, Broekhuyse HM, O'Brien PJ. Sociodemographic and injury characteristics of patients with fracture nonunion requiring surgical intervention. J Trauma Acute Care Surg. 2014;76(4):954-958. DOI: 10.1097/TA.0000000000000158
Zura R, Xiong Z, Einhorn T, Watson JT, Ostrum RF, Prayson MJ, et al. Epidemiology of Fracture Nonunion in 18 Human Bones. JAMA Surg. 2016;151(11):e162775. DOI: 10.1001/jamasurg.2016.2775
Westgeest J, Weber D, Dulai SK, Bergman JW, Buckley R, Beaupre LA. Factors Associated with Development of Nonunion or Delayed Healing After an Open Long Bone Fracture: A Prospective Cohort Study of 736 Subjects. J Orthop Trauma. 2016;30(3):149-155. DOI: 10.1097/BOT.0000000000000463
Smith J, O'Connor M, Winter DC. A Narrative Review on the Challenges and Perspectives of New Technologies and Innovations in Fracture Fixation. Bioengineering (Basel). 2020;7(2):43. DOI: 10.3390/bioengineering7020043
Chang EI, Galvez MG, Glotzbach JP, Hamou CD, El-ftesi S, Rappleye CT, et al. Vascularized Deep Inferior Epigastric Perforator Flaps in Abdominal, Pelvic, and Groin Defects After Oncologic Resection. Plast Reconstr Surg. 2019;143(4):1098-1108. DOI: 10.1097/PRS.0000000000005418
Thompson SM, Guelcher SA, Reing JE, O'Neill K, Webster TJ. A biomechanical and in vivo assessment of a triphasic ceramic-coated porous titanium revision acetabular cup. J Biomed Mater Res B Appl Biomater. 2018;106(3):1123-1131. DOI: 10.1002/jbm.b.33834
García-Gareta E, Collighan R, Brook IM, Crabb D, Patton R. Evidence of intracellular starch granules in dermal fibroblasts in a patient with recurrent wounds. Ann R Coll Surg Engl. 2021;103(3):229-231. DOI: 10.1308/rcsann.2020.0221
Wang Y, Li Y, Wang Z, Tan X, Yang X, Zuo Z, et al. Predicting the Risk of Malunion in Midshaft Clavicular Fractures: A Novel Machine Learning Algorithm. J Orthop Surg Res. 2022;17(1):101. DOI: 10.1186/s13018-022-02917-9
Chin M, Ng V, Yen S, Chua H, Wong MT, Pho R. The Current Use of Three-Dimensional Printing in Plastic Surgery and Reconstruction. Plast Reconstr Surg. 2020;146(2):252e-259e. DOI: 10.1097/PRS.0000000000006966
Li C, Yang P, Zhang C, Wang K, Zhang Y, Zhang W. Preoperative Neutrophil-to-Lymphocyte Ratio (NLR) as a Predictive Factor of Early Recurrence of Hip Fractures. J Orthop Surg Res. 2021;16(1):235. DOI: 10.1186/s13018-021-02404-y
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Lizbeth Leonor Cárdenas Garófalo, Lourdes Maricela Cevallos Sánchez, Alex Adrian Maji Padilla, Bryan Alejandro Alarcón Guambo, Santiago Fabricio Núñez Acosta, Glenda Vanessa Chica Huayamabe, Elizabeth Alexandra Jiménez Solano
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the moral and patrimonial rights of their works. They only give to the magazine Tesla Revista Científica the right to the first publication of this. Since Tesla Revista Científica is an open access publication, readers can fully or partially reproduce its content as long as they properly credit the corresponding authors and the journal itself. Tesla Revista Científica undertakes not to make commercial use of the texts it receives and/or publishes.
Our journal is governed by the international policies SHERPA/RoMEO: Green journal: They allow the self-archiving of both the pre-print (draft of a paper) and the post-print (the version corrected and reviewed by peers) and even the final version ( layout as it will be published in the journal).
See also "Copyright and licences".
