Role of Trauma Damage Control Orthopaedic in polytraumas: a case of pelvic disjunction associated with hip dislocation with vascular injury

• Published in: The Pan African medical journal Vol. 27; p. 122
• Main Authors: Madani, Tarik, El Alouani, El Mehdi, Mhammdi, Younes, Kharmaz, Mohammed, El Ouadghiri, Mohamed, Lahlou, Abdou, Omar, Lamrani Moulay, El Bardouni, Ahmed, Mahfoud, Mustapha, Berrada, Mohamed Saleh
• Format: Journal Article
• Language: French
• Published: Uganda 2017
• Subjects: Accidents, Traffic; Adult; Female; Hip Dislocation - surgery; Humans; Multiple Trauma - surgery; Orthopedic Procedures - methods; Pelvis - injuries; Pelvis - surgery; Vascular System Injuries - therapy; pelvis; polytrauma; TDCO
• ISSN: 1937-8688
• DOI: 10.11604/pamj.2017.27.122.8699

The knowledge of the pathophysiology of patients with severe trauma and the hemodynamic and inflammatory consequences of initial surgical management has led many surgeons to change their approach to the treatment of patients with severe polytraumas associated with lesions of the pelvis or of limbs by integrating the principles of sequential treatment or Trauma Damage Control Orthopaedic (TDCO). We report the case of a patient involved in a public road accident, admitted to hospital in a state of shock with pelvic disjunction and hip dislocation complicated by vascular injury in the same limb. Our approach was based on TDCO concepts by favoring external fixation of the pelvis after hip dislocation reduction. The timeliness of our apprach allowed early limb revascularization while avoiding the hemodynamic and inflammatory complications of open surgery.