Optimal timing for femoral fracture fixation in multiple trauma patients

The Alfred0 个研究点目标入组 40 人开始时间: 2007年9月21日最近更新: 2020年1月13日

试验速览

暂无简介。

•Fractured femoral shaft with a blunt mechanism of injury, suitable for intramedullary nailing
•Significant injury to another body region
•- post-injury pre-intubation Glasgow Coma Scale (GCS) 3 – 12
•- multiple facial fractures
•- chest trauma (> 2 rib fractures, mediastinal injury, pulmonary contusion, aortic injury, sternal fracture)
•- abdominal trauma (need for laparotomy/embolisation)
•- spine or spinal cord trauma
•- 2 or more long bone fracture’s (or the presence of bilateral femoral shaft fractures)
•- pelvic ring fracture
•- need for urgent surgery/procedure including:
•craniotomy
•external ventricular drain (EVD)/intracranial pressure (ICP)
•thoracotomy
•planned spinal fixation
•planned pelvic fixation

•Peri-prosthetic femoral shaft fractures
•Medical contraindication to surgery (e.g., intracranial pressure (ICP) > 25, hypothermic, coagulopathic, acidotic)
•Surgeon or anaesthetist judges that the patient is too unstable for the intramedullary nailing procedure (e.g., risk of disturbing contained solid-organ injuries or aortic disruptions by changes in patient position or by movement during the femoral nailing procedure)

发起方

The Alfred