Table of Contents
ISRN Orthopedics
Volume 2013, Article ID 329452, 9 pages
Review Article

Early Total Care versus Damage Control: Current Concepts in the Orthopedic Care of Polytrauma Patients

University of Genoa, Largo R. Benzi 10, 16132 Genova, Italy

Received 24 January 2013; Accepted 20 February 2013

Academic Editors: S. Aldrian, T. K. Koo, T. Matsumoto, T. Tsutsumimoto, and B. K. Weiner

Copyright © 2013 Ratto Nicola. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The management of the polytraumatized orthopedic patient remains a challenging issue. In recent years many efforts have been made to develop rescue techniques and to promote guidelines for the management of these patients. Currently controversies persist between two orthopedic approaches: the Early Total Care and the Damage Control Orthopedics. An overview of the current literature on the orthopedic management of polytrauma patient is provided. Subsequently, femoral shaft fractures, representing extremely common lesions, and pelvic ring injuries, that are associated with a high mortality rate, are analyzed in detail.